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Contact Information

BIANCA JARDIN PHD LLC
1050 JOHNNIE DODDS BLVD, #2381
MOUNT PLEASANT, SC29465-2801
 Phone: 812-401-0941
 Fax: 843-480-9579
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BIANCA JARDIN PHD LLC

NPI Number 1033653910
LBN Legal business name BIANCA JARDIN PHD LLC
Authorized official BIANCA JARDIN - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2016
Last updated 08/01/2024 - More than a year ago
Identifiers
SC License # 1285
SC Medicaid PG0176
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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