Provider Demographics
NPI:1013649375
Name:UNIQUELY YOU SOCIAL SERVICES & COUNSELING AGENCY
Entity Type:Organization
Organization Name:UNIQUELY YOU SOCIAL SERVICES & COUNSELING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:RACHONDRA
Authorized Official - Middle Name:ANNESE
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-626-5642
Mailing Address - Street 1:6834 CANTRELL RD # 1128
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-4135
Mailing Address - Country:US
Mailing Address - Phone:888-626-5642
Mailing Address - Fax:
Practice Address - Street 1:5301 MCCLANAHAN DR STE C5
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-7080
Practice Address - Country:US
Practice Address - Phone:501-348-0542
Practice Address - Fax:501-209-4205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-27
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty