Provider Demographics
NPI:1780873059
Name:FALESCHINI, BREEANNA TERESA
Entity type:Individual
Prefix:
First Name:BREEANNA
Middle Name:TERESA
Last Name:FALESCHINI
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 1:120 GREENWICH RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-2314
Mailing Address - Country:US
Mailing Address - Phone:612-508-9403
Mailing Address - Fax:
Practice Address - Street 1:120 GREENWICH RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-2314
Practice Address - Country:US
Practice Address - Phone:612-508-9403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-23
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker