Gregory M. Banicki in Fort Wayne - Mental Health
Gregory M. Banicki - NPI 1184785693
Gregory M. Banicki is a Mental Health in Fort Wayne, Indiana. Gregory M. Banicki practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Gregory M. Banicki is 1184785693. The last update date is 2007-07-08.
Gregory M. Banicki's current location address is 1910 Saint Joe Center Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604845599 and fax number 2604845664. The mailing address for Gregory M. Banicki is 1910 Saint Joe Center Rd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory M. Banicki |
|---|---|
| Address | 1910 Saint Joe Center Rd, Fort Wayne, Indiana |
| Phone Number | 2604845599 |
| Fax Number | 2604845664 |
| Sole Proprietor | Y |
| Credentials | M.S. ED. |
NPI Number Detail
| NPI Number | 1184785693 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1910 Saint Joe Center Rd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468255000 |
| Phone Number | 2604845599 |
| Fax Number | 2604845664 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gregory M. Banicki by the Centers for Medicare & Medicaid Services?
The Gregory M. Banicki has been assigned the NPI (National Provider Identifier) 1184785693 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Gregory M. Banicki's facilities are situated?
The facilities of Gregory M. Banicki are physically located at the following address: 1910 Saint Joe Center Rd, Fort Wayne, IN, 468255000.
What is Gregory M. Banicki's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gregory M. Banicki's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Gregory M. Banicki receive the assignment of its 1184785693 from the Centers for Medicare & Medicaid Services?
The Gregory M. Banicki was issued its 1184785693 by the Centers for Medicare & Medicaid Services on 2006-12-12.
As of what date were the Gregory M. Banicki's details last updated?
The information pertaining to the Gregory M. Banicki, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN