UNIQUE DIAMONDS, LLC (NPI# 1124530977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124530977 |
| Entity Type | Organization |
| Organization Name | UNIQUE DIAMONDS, LLC |
| Practice Address |
4068 Maffitt St. Louis MO 63113 |
| Mailing Address |
1147 Appleseed Ln Apt A Olivette MO 63132 |
| Practice Telephone | 3148289713 |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |
| Authorized Official Name | MRS. KRISTIE TYSON (THERAPIST) |
| Authorized Official Telephone | 3148289713 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
4068 MAFFITT |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760968093 | R8:28 | Counselor | 4068 Maffitt, St. Louis, MO 63113 | 2018-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487139937 | Kaniya Kashell Smotherman | In Home Supportive Care | 3834a Cotebrilliante Ave., St Louis, Mo, MO 63113 | 2018-10-01 |
| 1821507831 | Another Day At Life LLC | Home Health | 1515 N Warson Rd Suite 103, St. Louis, MO 63113 | 2017-09-21 |
| 1124570999 | Carestl Health | Clinic/Center | 4248 Cottage Ave, Saint Louis, MO 63113 | 2016-10-27 |
| 1164801528 | Brittany Ashcraft | Social Worker | 1220 N Linbergh Blvd, Apt A, Saint Louis, MO 63113 | 2015-05-19 |
| 1538596465 | Enduring Heart In Home Care Services | Home Health | 1012 Sarah, Saint Louis, MO 63113 | 2013-10-10 |
| 1386989127 | Friends of African Amer. Family Service Center | Community/Behavioral Health | 1033 Whittier Avenue, Room 118, Saint Louis, MO 63113 | 2012-12-05 |
| 1598018202 | Shelia Latrese Bradford | Home Health | 3637 North Market St, St. Louis, MO 63113 | 2012-10-18 |
| 1043587736 | Angels Adult Day Care | Custodial Care Facility | 5021 Northland Avenue, Saint Louis, MO 63113 | 2011-11-23 |
| 1154575033 | Debra Lynn Miller | Occupational Therapist | 3645 Cook Ave., St. Louis, MO 63113 | 2008-11-05 |
| 1780853739 | Sandra Ann Lake | Physical Therapist | 3645 Cook, St Louis, MO 63113 | 2008-02-25 |
| Find all providers in zip 63113 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780105452 | James Bryan Schrader | Counselor | 12648 Olive Blvd, Behavioral Heath Response, St. Louis, MO 63141 | 2017-07-03 |
| 1427591734 | David Keith Barton | Counselor | 800 North Tucker, St. Louis, MO 63101 | 2016-11-18 |
| 1902212160 | Nora Ann Boland II | Counselor | 4220 North Grand Blvd., St. Louis, MO 63107 | 2014-07-09 |
| 1801963012 | Jane Wright Seelig | Counselor | 7243 Delmar Blvd, Suite 201, St. Louis, MO 63130-4105 | 2006-11-30 |
| 1730274291 | Richard Orlando | Counselor | 10805 Sunset Office Drive, Suite 401, St. Louis, MO 63127 | 2006-10-03 |
| 1164463915 | Barbara Juettemeyer | Counselor | 522 N. New Ballas, Suite 332, St. Louis, MO 63141 | 2006-06-10 |
| 1528468147 | Annette Michelle Cook | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-09-02 |
| 1770990038 | Joseph B Clark | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-07-18 |
| 1336556695 | Chris S Briggs | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-07-18 |
| 1578970059 | Jacqueline Randolph | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-07-17 |
| Find all providers in ST. LOUIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.