Individual provider · NPI-1
Bianca S. Guerra, QMHS
Community/Behavioral Health · Livonia, MI
NPI number1992296008
StatusActive
Last updated in NPPESJan 9, 2025
Details
- NPI
- 1992296008
- Entity type
- Individual (NPI-1)
- Name
- Bianca S. Guerra
- Credential
- QMHS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 24, 2018
- Certification date
- Jan 9, 2025
- Last updated
- Jan 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Bianca S. Leal (Former Name)
Practice location
37450 Schoolcraft RdLivonia, MI 48150-1082
Phone 734-458-4601
Mailing address
37450 Schoolcraft RdLivonia, MI 48150-1082
Phone 734-458-4601
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