Provider Demographics
NPI:1871370809
Name:UNIQUABILITY THERAPY AND COUNSELING PLLC
Entity type:Organization
Organization Name:UNIQUABILITY THERAPY AND COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:IMANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOULARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-671-8380
Mailing Address - Street 1:6001 W PARMER LN STE 3701147
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-3901
Mailing Address - Country:US
Mailing Address - Phone:818-671-8380
Mailing Address - Fax:
Practice Address - Street 1:2212 FUZZ FAIRWAY APT B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728-4511
Practice Address - Country:US
Practice Address - Phone:818-671-8380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty