Provider Demographics
NPI:1114293263
Name:LEKAIBAN, LLC
Entity Type:Organization
Organization Name:LEKAIBAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:LEANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWC
Authorized Official - Phone:301-801-4626
Mailing Address - Street 1:10125 COLESVILLE RD
Mailing Address - Street 2:STE 138
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-2457
Mailing Address - Country:US
Mailing Address - Phone:301-801-4626
Mailing Address - Fax:301-576-4554
Practice Address - Street 1:14201 LAUREL PARK DR STE 221
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5203
Practice Address - Country:US
Practice Address - Phone:301-801-4626
Practice Address - Fax:301-576-4554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty