Provider Demographics
NPI:1912643321
Name:UNICORN HEALTH CARE LLC
Entity Type:Organization
Organization Name:UNICORN HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS SYSTEMS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RICE
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:202-674-1227
Mailing Address - Street 1:650 PENNSYLVANIA AVE SE
Mailing Address - Street 2:STE 410
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-4339
Mailing Address - Country:US
Mailing Address - Phone:703-517-1947
Mailing Address - Fax:202-544-3004
Practice Address - Street 1:650 PENNSYLVANIA AVE SE
Practice Address - Street 2:STE 410
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4339
Practice Address - Country:US
Practice Address - Phone:703-517-1947
Practice Address - Fax:202-544-3004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty