Provider Demographics
NPI:1861821308
Name:BIANCO CHILD AND FAMILY THERAPY, LLC
Entity Type:Organization
Organization Name:BIANCO CHILD AND FAMILY THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:NADEEN
Authorized Official - Last Name:BIANCO
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:603-524-5776
Mailing Address - Street 1:14 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:GILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03249-6997
Mailing Address - Country:US
Mailing Address - Phone:603-524-5776
Mailing Address - Fax:603-524-5796
Practice Address - Street 1:14 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249-6997
Practice Address - Country:US
Practice Address - Phone:603-524-5776
Practice Address - Fax:603-524-5796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty