Provider Demographics
NPI:1043702814
Name:UNH COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:UNH COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:UMIECA
Authorized Official - Middle Name:NICOLLE
Authorized Official - Last Name:HANKTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:504-390-2985
Mailing Address - Street 1:4831 PIETY DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-4753
Mailing Address - Country:US
Mailing Address - Phone:504-390-2985
Mailing Address - Fax:
Practice Address - Street 1:1050 S JEFFERSON DAVIS PKWY STE 239
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125
Practice Address - Country:US
Practice Address - Phone:504-390-2985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-06
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1456251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health