| Unique Diamonds, Llc | |
|
4068 Maffitt St. Louis MO 63113 | |
| (314) 828-9713 | |
| Not Available |
| Full Name | Unique Diamonds, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4068 Maffitt, St. Louis, Missouri |
| Authorized Official Name and Position | Kristie Tyson (THERAPIST) |
| Authorized Official Contact | 3148289713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unique Diamonds, Llc 1147 Appleseed Ln Apt A Olivette MO 63132 Ph: () - | Unique Diamonds, Llc 4068 Maffitt St. Louis MO 63113 Ph: (314) 828-9713 |
| NPI Number | 1124530977 |
|---|---|
| Provider Enumeration Date | 11/02/2017 |
| Last Update Date | 11/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124530977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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