Provider Demographics
NPI:1447638374
Name:BANYAS, BRITNEY (LISW)
Entity type:Individual
Prefix:
First Name:BRITNEY
Middle Name:
Last Name:BANYAS
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:BRITNEY
Other - Middle Name:LYNN
Other - Last Name:KIMMET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SW
Mailing Address - Street 1:3433 AGLER ROAD
Mailing Address - Street 2:SUITE 2300 - CREDENTIALING/BILLING
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-3389
Mailing Address - Country:US
Mailing Address - Phone:614-645-5500
Mailing Address - Fax:614-458-1849
Practice Address - Street 1:3433 AGLER RD
Practice Address - Street 2:SUITE 2800
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-3387
Practice Address - Country:US
Practice Address - Phone:614-645-1600
Practice Address - Fax:614-645-1347
Is Sole Proprietor?:No
Enumeration Date:2015-05-12
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI14513941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical