Provider Demographics
NPI:1407999410
Name:UNIQUE BEGINNINGS,LLC
Entity Type:Organization
Organization Name:UNIQUE BEGINNINGS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAWANDA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-421-5018
Mailing Address - Street 1:110 BELMONT PL
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-5802
Mailing Address - Country:US
Mailing Address - Phone:704-480-8830
Mailing Address - Fax:704-480-8505
Practice Address - Street 1:110 BELMONT PL
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-5802
Practice Address - Country:US
Practice Address - Phone:704-480-8830
Practice Address - Fax:704-480-8505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301238BMedicaid
NC3418089Medicaid