person
Lydia Ruth Banton, LMHC
Mental Health Counselor in Indianapolis, Indiana
NPI 1831353911

Lydia Ruth Banton is a Mental Health Counselor based in Indianapolis, IN and is specialized in Mental Health. Lydia Ruth Banton practices in Indianapolis, IN and has the professional credentials of LMHC. The NPI Number for Lydia Ruth Banton is 1831353911 and holds a License No. 39002262A (Indiana).

The current practice location address for Lydia Ruth Banton is 5470 East 16Th Street, Indianapolis, IN and can be reached out via phone at 317-355-5394 and via fax at 317-351-7580.

Location: 5470 East 16Th Street, Indianapolis, IN, 46250-2890
person
Provider Profile Details
NPI Number
1831353911
Provider Name
Lydia Ruth Banton
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
5470 East 16Th Street, Indianapolis, IN, 46250-2890
Phone Number
317-355-5394
Fax Number
317-351-7580
Provider Enumeration Date
07/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100270530 05 IN
institution
Provider Business Practice Location Address Details
Address
5470 East 16Th Street
City
State
Zip
46218-4861
Phone Number
317-355-5394
Fax Number
317-351-7580
person
Provider Business Mailing Address Details
Address
5470 East 16Th Street
City
State
Zip
46218-4861
Phone Number
317-355-5394
Fax Number
317-351-7580
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39002262A (Indiana)
Definition
Definition to come...
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