Provider Demographics
NPI:1619576352
Name:MONROE, BIANCA FAITH (MSW, LCAS-A, LCSW-A)
Entity Type:Individual
Prefix:MISS
First Name:BIANCA
Middle Name:FAITH
Last Name:MONROE
Suffix:
Gender:F
Credentials:MSW, LCAS-A, LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6319 RAEFORD RD APT 76
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-2838
Mailing Address - Country:US
Mailing Address - Phone:910-224-1094
Mailing Address - Fax:910-483-2246
Practice Address - Street 1:111 LAMON ST STE 100
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-4917
Practice Address - Country:US
Practice Address - Phone:910-483-0324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-23
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NC26639101YA0400X
NCP0153071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)