Provider Demographics
NPI:1508377136
Name:BALLENGEE, BELINDA SUE (CDCA)
Entity Type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:SUE
Last Name:BALLENGEE
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 27
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:OH
Mailing Address - Zip Code:45690-0027
Mailing Address - Country:US
Mailing Address - Phone:740-947-2364
Mailing Address - Fax:740-941-1829
Practice Address - Street 1:111 N HIGH ST
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-1343
Practice Address - Country:US
Practice Address - Phone:740-947-2364
Practice Address - Fax:740-941-1829
Is Sole Proprietor?:No
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)