| Unity Behavioral Llc | |
|
660 W Campbell Rd Ste 100 Richardson TX 75080-3381 | |
| (682) 269-9889 | |
| Not Available |
| Full Name | Unity Behavioral Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 660 W Campbell Rd Ste 100, Richardson, Texas |
| Authorized Official Name and Position | Selene Hammon (PRESIDENT) |
| Authorized Official Contact | 6822699889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unity Behavioral Llc 660 W Campbell Rd Ste 100 Richardson TX 75080-3381 Ph: (682) 269-9889 | Unity Behavioral Llc 660 W Campbell Rd Ste 100 Richardson TX 75080-3381 Ph: (682) 269-9889 |
| NPI Number | 1184396541 |
|---|---|
| Provider Enumeration Date | 10/04/2021 |
| Last Update Date | 12/03/2024 |
| Certification Date | 12/03/2024 |
| Medicare PECOS PAC ID | 6800286188 |
|---|---|
| Medicare Enrollment ID | O20211130001571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184396541 | NPI | - | NPPES |
| Provider Name | Angela R Marlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386385474 PECOS PAC ID: 3577940386 Enrollment ID: I20220517002294 |
| Provider Name | Marida S Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740633478 PECOS PAC ID: 0941674006 Enrollment ID: I20230313002836 |
| Provider Name | Kevin Gene Miles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437326089 PECOS PAC ID: 3779934914 Enrollment ID: I20240111003451 |
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