| Organization Name: | BIANCHINI-ETHERTON |
| NPI Number: | 1023217684 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOE ETHERTON (PARTNER) |
| Mailing Address: | 3939 Houma Blvd Suite #223 Metairie |
| State: | LA US |
| Postal Code: | 700062931 |
| Phone Number: | 5047801702 |
| Fax Number: | 5047801705 |
| NPI Enumeration Date: | 07/13/2007 |
| NPI Last Update Date: | 07/18/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 859 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |