Provider Demographics
NPI:1225582448
Name:BANKS, ROBERNIKE
Entity Type:Individual
Prefix:
First Name:ROBERNIKE
Middle Name:
Last Name:BANKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 MEHLE ST APT A
Mailing Address - Street 2:
Mailing Address - City:ARABI
Mailing Address - State:LA
Mailing Address - Zip Code:70032-1332
Mailing Address - Country:US
Mailing Address - Phone:504-377-7631
Mailing Address - Fax:
Practice Address - Street 1:1215 MEHLE ST APT A
Practice Address - Street 2:
Practice Address - City:ARABI
Practice Address - State:LA
Practice Address - Zip Code:70032-1332
Practice Address - Country:US
Practice Address - Phone:504-377-7631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-04
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health