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Provider Information for 1598924128


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LAURA ANNE BIANCHINI PCC


Sex: Female

NPI: 1598924128
Last Updated: 2024-02-15
Certification Date: 2024-02-13

Details

NameValue
NPI1598924128
Enumeration Date2008-06-09
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 6670 BRANDAMORE COURT
SOLON, OH 44139-9009
United States

Phone: 440-725-1607 | Fax:
 
Primary Practice Address 23250 CHAGRIN BLVD
BEACHWOOD, OH 44122-5470
United States

Phone: 216-464-4243 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101Y00000X - Counselor OHC.0700427 TEMP