Provider Demographics
NPI:1124247986
Name:BANEY, ADRIAN (LPCC-S)
Entity type:Individual
Prefix:MRS
First Name:ADRIAN
Middle Name:
Last Name:BANEY
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 E COURT ST STE B
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-2467
Mailing Address - Country:US
Mailing Address - Phone:419-575-7910
Mailing Address - Fax:419-386-0951
Practice Address - Street 1:141 E COURT ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-2467
Practice Address - Country:US
Practice Address - Phone:419-575-7910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist