Provider Demographics
NPI:1851805840
Name:HOLCOMB, BIANCA SADDY (LCSW)
Entity Type:Individual
Prefix:
First Name:BIANCA
Middle Name:SADDY
Last Name:HOLCOMB
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6705 W END BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-2244
Mailing Address - Country:US
Mailing Address - Phone:504-669-8437
Mailing Address - Fax:
Practice Address - Street 1:6705 W END BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-2244
Practice Address - Country:US
Practice Address - Phone:504-669-8437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA126181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical