Provider Demographics
NPI:1376048371
Name:UNIFY BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:UNIFY BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DENIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:EMRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-354-6398
Mailing Address - Street 1:1405 S FERN ST # 160
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-2810
Mailing Address - Country:US
Mailing Address - Phone:857-244-1868
Mailing Address - Fax:
Practice Address - Street 1:4601 FAIRFAX DR STE 1200
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1559
Practice Address - Country:US
Practice Address - Phone:857-244-1868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-29
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007209101YA0400X, 101YM0800X
MA9477101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty