Provider Demographics
NPI:1205609435
Name:UNIQUE BEHAVIORAL HEALTH INC.
Entity type:Organization
Organization Name:UNIQUE BEHAVIORAL HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:U
Authorized Official - Last Name:ATU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-535-0454
Mailing Address - Street 1:9203 ROLLING VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2457
Mailing Address - Country:US
Mailing Address - Phone:240-535-0454
Mailing Address - Fax:
Practice Address - Street 1:9203 ROLLING VIEW DR
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2457
Practice Address - Country:US
Practice Address - Phone:240-535-0454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty