Provider Demographics
NPI:1205414802
Name:BANKS, TIFFANY TURNER (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:TURNER
Last Name:BANKS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9002 CHIMNEY ROCK RD STE G181
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-2509
Mailing Address - Country:US
Mailing Address - Phone:832-707-6841
Mailing Address - Fax:
Practice Address - Street 1:9002 CHIMNEY ROCK RD STE G181
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-2509
Practice Address - Country:US
Practice Address - Phone:832-707-6841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81765101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional