Organization
BLACK UNICORN WELLNESS SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STANISHA THOMASINA YORK LPCC (CEO)
(909) 510-1584
Entity
Organization
Contact information
Practice address
13800 HEACOCK ST STE C238, MORENO VALLEY, CA 92553-6268
(951) 398-6009
Mailing address
30141 ANTELOPE RD # D-666, MENIFEE, CA 92584-7001
(951) 398-6009
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/24/2024
Last updated
03/05/2026
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