Healthcare Provider Details

I. General information

NPI: 1740739333
Provider Name (Legal Business Name): BIANCA GIANFRATE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2016
Last Update Date: 01/26/2021
Certification Date: 01/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 KING ST
DENVER CO
80219-1326
US

IV. Provider business mailing address

325 KING ST
DENVER CO
80219-1326
US

V. Phone/Fax

Practice location:
  • Phone: 303-225-4100
  • Fax:
Mailing address:
  • Phone: 303-225-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0016771
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: