Provider Demographics
NPI:1538567748
Name:CARVALHO, BIBIANA
Entity type:Individual
Prefix:
First Name:BIBIANA
Middle Name:
Last Name:CARVALHO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6020 DAWSON BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-1229
Mailing Address - Country:US
Mailing Address - Phone:770-662-0249
Mailing Address - Fax:770-449-5023
Practice Address - Street 1:6020 DAWSON BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-1229
Practice Address - Country:US
Practice Address - Phone:770-662-0249
Practice Address - Fax:770-449-5023
Is Sole Proprietor?:No
Enumeration Date:2014-12-22
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor