MEDICARE: MRS. ADRIAN BANEY LPCC-S

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
1	101YM0800X	Mental Health Counselor	E0500503	OH

General Provider Information

NPI Number	:	1124247986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ADRIAN BANEY LPCC-S

Provider Business Mailing Address
First Line	:	5577 AIRPORT HWY
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-7364
Country	:	US
Telephone Number	:	419-720-0442
Fax Number	:	419-754-2085

Provider Business Practice Location Address
First Line	:	5577 AIRPORT HWY
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-7364
Country	:	US
Telephone Number	:	419-720-0442
Fax Number	:	419-754-2085

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	02/05/2026

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