Provider Demographics
NPI:1851975072
Name:UNIQUELY YOU BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:UNIQUELY YOU BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GARREN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:217-318-1076
Mailing Address - Street 1:400 E LINCOLN HWY STE 102
Mailing Address - Street 2:
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-1993
Mailing Address - Country:US
Mailing Address - Phone:779-707-1737
Mailing Address - Fax:
Practice Address - Street 1:400 E LINCOLN HWY STE 102
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-1993
Practice Address - Country:US
Practice Address - Phone:779-707-1737
Practice Address - Fax:779-701-4171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)