Individual
MARLA D MINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW LCSW
Contact information
Practice address
1101 N ROYAL AVE, SUITE B, EVANSVILLE, IN 47715-7845
(812) 420-0020
(812) 789-2458
Mailing address
PO BOX 8082, EVANSVILLE, IN 47716-8082
(812) 420-0020
(812) 789-2458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001064A
IN
1041C0700X
Clinical Social Worker
Primary
34003950A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000752449
ANTHEM
IN
01
—
11609129
CAQH
IN
Enumeration date
08/12/2006
Last updated
07/01/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us