Provider Demographics
NPI:1376240259
Name:BANKS, SCHARMA (PLPC)
Entity Type:Individual
Prefix:
First Name:SCHARMA
Middle Name:
Last Name:BANKS
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 QUINNMOOR DR
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2514
Mailing Address - Country:US
Mailing Address - Phone:314-583-5539
Mailing Address - Fax:
Practice Address - Street 1:12 FEE FEE RD
Practice Address - Street 2:
Practice Address - City:MARYLAND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63043-2729
Practice Address - Country:US
Practice Address - Phone:314-368-2409
Practice Address - Fax:949-577-4014
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2022046401OtherPROFESSIONAL LICENSE