Organization
UNIQUELYU FUNCTIONAL NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIE T WILLS MS, RD, LD (CEO)
(214) 813-9966
Entity
Organization
Contact information
Practice address
2909 ROLLING OAKS DR, NEW BRAUNFELS, TX 78132-4161
(214) 813-9966
Mailing address
2909 ROLLING OAKS DR, NEW BRAUNFELS, TX 78132-4161
(214) 813-9966
(830) 296-5585
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
05/21/2026
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