Provider Demographics
NPI:1396020814
Name:BANKS, HELENA BROWN
Entity Type:Individual
Prefix:MRS
First Name:HELENA
Middle Name:BROWN
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 1:5655 DANFORTH AVE
Mailing Address - Street 2:HOUSE
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-8678
Mailing Address - Country:US
Mailing Address - Phone:702-463-5585
Mailing Address - Fax:
Practice Address - Street 1:5655 DANFORTH AVE
Practice Address - Street 2:HOUSE
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89141-8678
Practice Address - Country:US
Practice Address - Phone:702-463-5585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-16
Last Update Date:2011-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health