Provider Demographics
NPI:1700386257
Name:BANKS, SAVVY SAVI
Entity Type:Individual
Prefix:
First Name:SAVVY
Middle Name:SAVI
Last Name:BANKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SAVIISO
Other - Middle Name:
Other - Last Name:DEJANEIRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3392 NAROD ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-4251
Mailing Address - Country:US
Mailing Address - Phone:702-336-6107
Mailing Address - Fax:
Practice Address - Street 1:1640 E FLAMINGO RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5280
Practice Address - Country:US
Practice Address - Phone:702-208-1479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCNA031247376K00000X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No376K00000XNursing Service Related ProvidersNurse's Aide