Provider Demographics
NPI:1013623818
Name:UNIK FOUNDATION
Entity Type:Organization
Organization Name:UNIK FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HANAD
Authorized Official - Middle Name:
Authorized Official - Last Name:DUALE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:614-987-5100
Mailing Address - Street 1:1925 E DUBLIN GRANVILLE RD STE 236
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3517
Mailing Address - Country:US
Mailing Address - Phone:614-987-5100
Mailing Address - Fax:
Practice Address - Street 1:1925 E DUBLIN GRANVILLE RD STE 236
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3517
Practice Address - Country:US
Practice Address - Phone:614-987-5100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-25
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251B00000XAgenciesCase Management