Bianca Jardin Phd Llc

LBN: Bianca Jardin Phd Llc
Bianca Jardin Phd Llc is an health care organization with primary practice located at 523 Live Oak Dr , Mt Pleasant SC 29464-4365. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Bianca Jardin Phd Llc can be contacted via phone (843) 300-2095, or through Jardin, Bianca via phone (843) 300-2095.

Contact Information

Primary practice address
523 Live Oak Dr Mt Pleasant SC 29464-4365
Phone: (843) 300-2095
Fax: (843) 480-9579
Website:
Map and Directions
Authorized official contact:
Name: Jardin, Bianca PHD
Phone: (843) 300-2095

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1285 South Carolina

Profile Details

NPI number 1033653910
LBN Legal business name Bianca Jardin Phd Llc
DBA Doing business as
Authorized official Jardin, Bianca PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2016
Last updated Feb 12th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033653910 NPPES
South Carolina MEDICAID PG0176

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