Camren Rose Bianco, MA
Individual provider Active NPI Mental Health Counselor · Mount Juliet, TN
NPI 1639903255 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1639903255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2031 N Mount Juliet Rd Ste 201
Mount Juliet, TN 37122-4498 - Phone
- (615) 438-3615
- NPI assigned
- Aug 27, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2031 N Mount Juliet Rd Ste 201
Mount Juliet, TN 37122-4498
Mailing address
4015 Plantation Dr
Hermitage, TN 37076-1151
Phone (678) 447-1723
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All providers in Mount Juliet, TN · Mental Health Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.