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NPI Code Detail

MEDICARE: MINDY BEDIAKO LPC

MEDICARE: MINDY BEDIAKO LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor2002900OH
2101YP2500XProfessional CounselorC.2204338OH

General Provider Information

NPI Number : 1124617915
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINDY BEDIAKO LPC
Provider Business Mailing Address
First Line : 10100 ELIDA RD
Second Line :
City : DELPHOS
State : OH
Zip : 45833-9056
Country : US
Telephone Number : 419-695-8010
Fax Number : 419-695-0004
Provider Business Practice Location Address
First Line : 11590 CENTURY BLVD STE 116
Second Line :
City : CINCINNATI
State : OH
Zip : 45246-3317
Country : US
Telephone Number : 513-771-7239
Fax Number : 513-771-3878
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2021
Last Update Date : 03/10/2023

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Directions to “ MINDY BEDIAKO LPC” Practice Location

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