Provider Demographics
NPI:1396894929
Name:BIANCHI, JULIE A (MA LPC)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:A
Last Name:BIANCHI
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 OGLETHORPE PROFESSIONAL BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406
Mailing Address - Country:US
Mailing Address - Phone:912-352-7638
Mailing Address - Fax:912-352-7492
Practice Address - Street 1:1 OGLETHORPE PROFESSIONAL BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406
Practice Address - Country:US
Practice Address - Phone:912-352-7638
Practice Address - Fax:912-352-7492
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3707101YM0800X
GALPC006842101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health