| Linda Bannister Counseling, Llc | |
|
205 N College Ave Ste 311 Bloomington IN 47404-3953 | |
| (317) 902-8079 | |
| Not Available |
| Full Name | Linda Bannister Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 205 N College Ave Ste 311, Bloomington, Indiana |
| Authorized Official Name and Position | Linda L Bannister (OWNER) |
| Authorized Official Contact | 3179028079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Bannister Counseling, Llc 3702 E Bethel Ln Bloomington IN 47408-9011 Ph: (317) 902-8079 | Linda Bannister Counseling, Llc 205 N College Ave Ste 311 Bloomington IN 47404-3953 Ph: (317) 902-8079 |
| NPI Number | 1508638669 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Medicare PECOS PAC ID | 3375986458 |
|---|---|
| Medicare Enrollment ID | O20240206000838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508638669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Linda L Bannister |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639728082 PECOS PAC ID: 5890138986 Enrollment ID: I20240206001172 |
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