Provider Demographics
NPI:1881099372
Name:BIANCO, TRACY ANN
Entity type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:ANN
Last Name:BIANCO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TRACY
Other - Middle Name:ANN
Other - Last Name:SFERLAZZO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7227 HANDON LN
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-1252
Mailing Address - Country:US
Mailing Address - Phone:704-766-0996
Mailing Address - Fax:
Practice Address - Street 1:7227 HANDON LN
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-1252
Practice Address - Country:US
Practice Address - Phone:704-766-0996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health