Provider Demographics
NPI:1528839727
Name:A UNIQUE THERAPY CENTER, PA
Entity type:Organization
Organization Name:A UNIQUE THERAPY CENTER, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:LATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:561-300-4066
Mailing Address - Street 1:7100 CAMINO REAL STE 302
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-5510
Mailing Address - Country:US
Mailing Address - Phone:561-300-4066
Mailing Address - Fax:561-409-4383
Practice Address - Street 1:7100 CAMINO REAL STE 302
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-5510
Practice Address - Country:US
Practice Address - Phone:561-300-4066
Practice Address - Fax:561-409-4383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty