Uniquely Yours Life Solutions, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

UNIQUELY YOURS LIFE SOLUTIONS, LLC

Doing business as

Uniquely Yours Life Solutions, LLC

Practice address

232 Market St
Flowood, MS 39232-3339

Phone

(769) 218-4013

Fax

(769) 235-1020

NPI assigned

Oct 15, 2019

Organization subpart

Yes

Parent organization

WANDA R. HARRISAs reported in NPPES

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

Authorized official

Name

Ms. Wanda R Harris, PHD, LPC-SNPI 1881138584

Title

Owner/ Ceo

Phone

(769) 218-4013

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Uniquely Yours Life Solutions, LLC Doing business as

Electronic endpoints 1

Part of

Uniquely Yours Life Solutions LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wanda Raquel Harris, LPC

  • Mental Health Counselor
  • Pearl, MS
  • NPI 1881138584
  NPD (past) Authorized official

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1447892161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 FLEETWOOD CV",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392188708",
            "telephone_number": "769-218-4013",
            "fax_number": "769-235-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MARKET ST",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323339",
            "telephone_number": "769-218-4013",
            "fax_number": "769-235-1020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2635 Choctaw Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708058219",
            "country_code": "US",
            "telephone_number": "769-218-4013",
            "fax_number": "769-235-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIQUELY YOURS LIFE SOLUTIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WANDA R. HARRIS",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "769-218-4013",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD, LPC-S"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07350300",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "uniquelyyours18@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "505 Fleetwood Cv",
            "city": "Richland",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392188708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Uniquely Yours Life Solutions, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Counselor in Flowood, MS
• Providers in Flowood, MS by specialty
• Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.