Unique Diamonds, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

UNIQUE DIAMONDS, LLC

Practice address

4068 Maffitt
St. Louis, MO 63113

Phone

(314) 828-9713

NPI assigned

Nov 2, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kristie Tyson, LPC

Title

Therapist

Phone

(314) 828-9713

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1124530977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 APPLESEED LN",
            "address_2": "APT A",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "63132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4068 MAFFITT",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63113",
            "telephone_number": "314-828-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE DIAMONDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "314-828-9713",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.