Jardin, Bianca

Jardin, Bianca is an individual health care provider with primary practice located at 523 Live Oak Dr , Mount Pleasant SC 29464-4365. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jardin, Bianca can be contacted via phone (843) 300-2095.

Contact Information

Primary practice address
523 Live Oak Dr Mount Pleasant SC 29464-4365
Phone: (843) 300-2095
Fax: (843) 480-9579
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1285 South Carolina

Profile Details

NPI number 1285064956
LBN Legal business name Jardin, Bianca
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2013
Last updated Feb 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285064956 NPPES
South Carolina MEDICAID PS0540

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