Provider Demographics
NPI:1184491110
Name:UNITY COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:UNITY COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARCY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:845-825-1311
Mailing Address - Street 1:759 BOYDS MILL LN
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22610-1996
Mailing Address - Country:US
Mailing Address - Phone:845-825-1311
Mailing Address - Fax:
Practice Address - Street 1:759 BOYDS MILL LN
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:VA
Practice Address - Zip Code:22610-1996
Practice Address - Country:US
Practice Address - Phone:845-825-1311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty