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Organization
UNIQUELYU COUNSELING
Active
Organization
UNIQUELYU COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LIANA K NELSON LPC, LCMHC, SATP (PSYCHOTHERAPIST)
(816) 866-0373
Entity
Organization
Contact information
Practice address
4033 VILLAGE PARK DR 1047, KNIGHTDALE, NC 27545-6622
(816) 866-0373
Mailing address
4033 VILLAGE PARK DR 1047, KNIGHTDALE, NC 27545
(816) 866-0373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5643966
AETNA
—
Enumeration date
01/02/2020
Last updated
06/26/2023
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