Kimberley Yvonne Banta, LPC - Counselor in Ft Eisenhower, GA

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Kimberley Yvonne Banta, LPC is a Counselor - Mental Health based in Ft Eisenhower, Georgia. Kimberley Yvonne Banta is licensed to practice in Georgia (license number LPC010936) and her current practice location is 300 W Hospital Rd, Ft Eisenhower, Georgia. She can be reached at her office (for appointments etc.) via phone at (706) 787-8656.

NPI number for Kimberley Yvonne Banta is 1811548803 and her current mailing address is 3994 Madison Ln, Augusta, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811548803.

Contact Information

Kimberley Yvonne Banta, LPC
300 W Hospital Rd,
Ft Eisenhower, GA 30905-5741
(706) 787-8656
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKimberley Yvonne Banta
GenderFemale
SpecialityCounselor - Mental Health
Location300 W Hospital Rd, Ft Eisenhower, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1811548803
  • Provider Enumeration Date: 09/22/2019
  • Last Update Date: 12/20/2023

Medical Identifiers

Medical identifiers for Kimberley Yvonne Banta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811548803NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LPC010936 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberley Yvonne Banta is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberley Yvonne Banta, LPC
3994 Madison Ln,
Augusta, GA 30909-9215

Ph: (706) 836-2649		Kimberley Yvonne Banta, LPC
300 W Hospital Rd,
Ft Eisenhower, GA 30905-5741

Ph: (706) 787-8656

Reviews and Comments


Counselor in Ft Eisenhower, GA


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