MEDICARE: BINGHAM PSYCHOTHERAPY LLC

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

General Provider Information

NPI Number	:	1891678884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BINGHAM PSYCHOTHERAPY LLC

Provider Business Mailing Address
First Line	:	25 W MAPLEWOOD AVE
Second Line	:
City	:	MECHANICSBURG
State	:	PA
Zip	:	17055-6427
Country	:	US
Telephone Number	:	717-599-6130
Fax Number	:

Provider Business Practice Location Address
First Line	:	2331 MARKET ST FL 3
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-4607
Country	:	US
Telephone Number	:	240-203-9109
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HANNAH BINGHAM
Credential	:	LPC
Telephone Number	:	240-203-9109

Provider Enumeration Date	:	07/28/2025
Last Update Date	:	07/28/2025

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