| Lydia Ruth Banton, LMHC | |
|
128 W 2nd St, Rushville, IN 46173-1804 | |
| (317) 912-0184 | |
| Not Available |
| Full Name | Lydia Ruth Banton |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 19 Years |
| Location | 128 W 2nd St, Rushville, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831353911 | NPI | - | NPPES |
| 100270530 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 39002262A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sondermind Provider Network Llc | 9537572490 | 1232 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210416002216 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Ruth Banton, LMHC 128 W 2nd St, Rushville, IN 46173-1804 Ph: (317) 912-0184 | Lydia Ruth Banton, LMHC 128 W 2nd St, Rushville, IN 46173-1804 Ph: (317) 912-0184 |
Alisha Nicole Dowell, LCSW, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 509 Conrad Harcourt Way, Rushville, IN 46173 Phone: 765-932-3699 Fax: 765-932-4164 | |
Tonia Lynn Richards, MS, LMHC, LCAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 509 Conrad Harcourt Way, Rushville, IN 46173 Phone: 765-932-3699 | |
Timothy Mcdivitt, MSW, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 152 E Us Highway 52, Rushville, IN 46173 Phone: 765-932-3974 Fax: 765-932-3576 | |
Angela Rose Hardy, MS LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 E 3rd St, Rushville, IN 46173 Phone: 765-932-5905 | |
Christopher P. Aune, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 509 Conrad Harcourt Way, Rushville, IN 46173 Phone: 765-288-1928 Fax: 765-932-4164 | |
Ms. Kimberly Dawn Justus, MA.,MHC Counselor Medicare: Medicare Enrolled Practice Location: 1400 N Cherry St, Rushville, IN 46173 Phone: 765-932-3974 |