Provider Demographics
NPI:1932644390
Name:PAULINE GIANOPLUS
Entity Type:Organization
Organization Name:PAULINE GIANOPLUS
Other - Org Name:GIANOPLUS PSYCHOTHERAPY SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRINCIPAL/PSYCHOTHERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIANOPLUS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MSW
Authorized Official - Phone:443-877-7843
Mailing Address - Street 1:PO BOX 3268
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21403-0268
Mailing Address - Country:US
Mailing Address - Phone:443-877-7843
Mailing Address - Fax:
Practice Address - Street 1:4405 EAST WEST HWY
Practice Address - Street 2:SUITE 506
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:443-877-7843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-21
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD151981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD255705300Medicaid
MD255705300Medicaid