Organization
UNLIMITED SUPPORTS & CONSULTING AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA CELESTE TATE (OWNER)
(336) 303-6922
Entity
Organization
Contact information
Practice address
5103 MALLISON WAY, MC LEANSVILLE, NC 27301-9004
(336) 303-6922
(336) 303-6922
Mailing address
5103 MALLISON WAY, MC LEANSVILLE, NC 27301-9004
(336) 303-6922
(336) 303-6922
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/01/2025
Last updated
12/18/2025
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