Provider Demographics
NPI:1881468395
Name:MCNEIL, UNISSHA BRANDII
Entity type:Individual
Prefix:
First Name:UNISSHA
Middle Name:BRANDII
Last Name:MCNEIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 THUNDER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-6694
Mailing Address - Country:US
Mailing Address - Phone:919-247-4777
Mailing Address - Fax:
Practice Address - Street 1:150 THUNDER RIDGE DR
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-6694
Practice Address - Country:US
Practice Address - Phone:919-247-4777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0197781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical