Organization
IICOM STRATEGIC LLC DBA UNIQUE MIND CARE
Active
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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