Provider Demographics
NPI:1295122117
Name:VIOLANTE, BRIANNA MARIE
Entity type:Individual
Prefix:MS
First Name:BRIANNA
Middle Name:MARIE
Last Name:VIOLANTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 COUNTRY CLUB BOULEVARD
Mailing Address - Street 2:APARTMENT 337
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:774-242-5227
Mailing Address - Fax:
Practice Address - Street 1:106 COUNTRY CLUB BOULEVARD
Practice Address - Street 2:APARTMENT 337
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605
Practice Address - Country:US
Practice Address - Phone:774-242-5227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-17
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health