Provider Demographics
NPI:1619525375
Name:BANKS COUNSELING, LLC
Entity Type:Organization
Organization Name:BANKS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:II
Authorized Official - Credentials:LICSW, LCSW-C
Authorized Official - Phone:240-383-2133
Mailing Address - Street 1:4615 SHARON RD
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-3737
Mailing Address - Country:US
Mailing Address - Phone:240-383-2133
Mailing Address - Fax:
Practice Address - Street 1:4615 SHARON RD
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-3737
Practice Address - Country:US
Practice Address - Phone:240-383-2133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-27
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty