Provider Demographics
NPI:1386066413
Name:BIANCARDI COUNSELING & CONSULTING SERVICES INC.
Entity type:Organization
Organization Name:BIANCARDI COUNSELING & CONSULTING SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BIANCARDI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LP
Authorized Official - Phone:763-567-8109
Mailing Address - Street 1:1405 SILVER LAKE RD NW
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112-9301
Mailing Address - Country:US
Mailing Address - Phone:763-567-8109
Mailing Address - Fax:
Practice Address - Street 1:1405 SILVER LAKE RD NW STE 18
Practice Address - Street 2:
Practice Address - City:NEW BRIGHTON
Practice Address - State:MN
Practice Address - Zip Code:55112-9312
Practice Address - Country:US
Practice Address - Phone:763-567-8109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-08
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP5070251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health