| Unique's Professional Services, Llc | |
|
1799 Stumpf Blvd Building 7, Suite 9a Terrytown LA 70056-3950 | |
| (844) 864-7834 | |
| (844) 864-7834 |
| Full Name | Unique's Professional Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1799 Stumpf Blvd, Terrytown, Louisiana |
| Authorized Official Name and Position | Vonncedric Lee Dixon (OWENER/MANAGER) |
| Authorized Official Contact | 8448647834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unique's Professional Services, Llc 5501 Tullis Dr Apt 2-103 New Orleans LA 70131-8907 Ph: (844) 864-7834 | Unique's Professional Services, Llc 1799 Stumpf Blvd Building 7, Suite 9a Terrytown LA 70056-3950 Ph: (844) 864-7834 |
| NPI Number | 1912384017 |
|---|---|
| Provider Enumeration Date | 04/28/2015 |
| Last Update Date | 04/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912384017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 14432993 (Louisiana) | Primary |
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