Provider Demographics
NPI:1740772581
Name:UNIQUELY YOU PROFESSIONAL COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:UNIQUELY YOU PROFESSIONAL COUNSELING SERVICES, LLC
Other - Org Name:LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:S
Authorized Official - Last Name:SKINNER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MHSP
Authorized Official - Phone:615-477-5266
Mailing Address - Street 1:304 UPTOWN SQ STE A-5
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-0583
Mailing Address - Country:US
Mailing Address - Phone:615-477-5266
Mailing Address - Fax:
Practice Address - Street 1:304 UPTOWN SQ STE A-5
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-0583
Practice Address - Country:US
Practice Address - Phone:615-477-5266
Practice Address - Fax:615-203-0334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-06
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000003082101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty