Organization
IICOM STRATEGIC LLC DBA UNIQUE MIND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WHITE (PRESIDENT)
(713) 660-1100
Entity
Organization
Contact information
Practice address
1776 YORKTOWN ST, STE 550, HOUSTON, TX 77056-4182
(713) 660-1100
Mailing address
1776 YORKTOWN ST, STE 550, HOUSTON, TX 77056-4182
(713) 660-1100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D84R
BCBS
TX
Enumeration date
02/04/2014
Last updated
02/04/2014
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