| Doctor Name: | MS. MONIQUE Y BIVINS |
| NPI Number: | 1023323706 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | PC005531 |
| Business Practice Address: | 15667 State Hwy 86 Meadville, PA - 163355317 |
| Business Phone Number: | 8142825452 |
| Business Fax Number: | |
| Mailing Address: | C6 Concord House, MEADVILLE |
| State: | PA |
| Postal Code: | 163351068 |
| Phone Number: | 8142825452 |
| Fax Number: | |
| NPI Enumeration Date: | 08/18/2010 |
| NPI Last Update Date: | 08/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC005531 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |