Healthcare Provider Details

I. General information

NPI: 1801255500
Provider Name (Legal Business Name): BIANCA LEMUS LMFT, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2016
Last Update Date: 07/05/2024
Certification Date: 07/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 HOPYARD RD STE 202
PLEASANTON CA
94588-8528
US

IV. Provider business mailing address

12935 ALCOSTA BLVD UNIT 3274
SAN RAMON CA
94583-6163
US

V. Phone/Fax

Practice location:
  • Phone: 925-847-5051
  • Fax:
Mailing address:
  • Phone: 510-828-8432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number15357
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number143451
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: