| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALEXANDRIA BANTA | 1689241085 | 2021-06-06 |
Alexandria Banta is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689241085. Registration indicates Alexandria Banta is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Alexandria Banta LISW-S |
| Practice Office Address | 1120 POLARIS PKWY STE 204 COLUMBUS, OH US |
| Practice Office Telephone | 8596305219 |
| Mailing Address | 184 E KOSSUTH ST COLUMBUS, OH 432062160 US |
| Business Telephone | 8596305219 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | I.1901417-SUPV
OH |