Judy Bannister, LLC
NPI #1225404544 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1225404544
- Entity Type
- Organization
- Organization Name
- Judy Bannister, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 20, 2015
- Last Updated
- Jul 22, 2016
Practice Location
- Address
- 5455 W 86TH ST STE 102
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46268-1536
- Phone
- (317) 762-0888
Authorized Official
- Name
- JUDY A BANNISTER, LCSW, LCAC, SAP, NCC
- Title
- OWNER/PRESIDENT
- Phone
- (317) 670-9413
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker - Clinical — Clinical |
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