Provider Demographics
NPI:1104377704
Name:MILLIERN, BIANCA MARTINIQUE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:BIANCA
Middle Name:MARTINIQUE
Last Name:MILLIERN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 GREENWICH CIR
Mailing Address - Street 2:SUITE 107
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4807
Mailing Address - Country:US
Mailing Address - Phone:561-317-7615
Mailing Address - Fax:561-406-5201
Practice Address - Street 1:425 GREENWICH CIR
Practice Address - Street 2:SUITE 107
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4807
Practice Address - Country:US
Practice Address - Phone:561-317-7615
Practice Address - Fax:561-406-5201
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13206101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health