Organization
UNIQUE'S PROFESSIONAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VONNCEDRIC LEE DIXON SR. (OWENER/MANAGER)
(844) 864-7834
Entity
Organization
Contact information
Practice address
1799 STUMPF BLVD, BUILDING 7, SUITE 9A, TERRYTOWN, LA 70056-3950
(844) 864-7834
(844) 864-7834
Mailing address
5501 TULLIS DR, APT 2-103, NEW ORLEANS, LA 70131-8907
(844) 864-7834
(844) 864-7834
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
14432993
LA
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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