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NPI Code Detail

MEDICARE: MISS BIANCA K HARVEY MS, LPC-A

MEDICARE: MISS BIANCA K HARVEY MS, LPC-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorA11246NC

General Provider Information

NPI Number : 1609266592
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS BIANCA K HARVEY MS, LPC-A
Provider Business Mailing Address
First Line : 5824 BRITTANY CT APT BC83
Second Line :
City : CHARLOTTE
State : NC
Zip : 28270-5816
Country : US
Telephone Number : 347-365-0057
Fax Number :
Provider Business Practice Location Address
First Line : 3705 LATROBE DR STE 340
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-4823
Country : US
Telephone Number : 704-364-3989
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2015
Last Update Date : 01/29/2015

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