Banta, Kimberley Yvonne
Banta, Kimberley Yvonne is an individual health care provider with primary practice located at 300 W Hospital Rd , Ft Eisenhower GA 30905-5741. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Banta, Kimberley Yvonne can be contacted via phone (706) 787-8656.Contact Information
Primary practice address
300 W Hospital Rd
Ft Eisenhower GA 30905-5741
Phone: (706) 787-8656
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC010936 | Georgia |
Profile Details
| NPI number | 1811548803 |
|---|---|
| LBN Legal business name | Banta, Kimberley Yvonne |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2019 |
| Last updated | Dec 20th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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