Provider Demographics
NPI:1942689096
Name:BANKS, LASHANDA (MS, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:LASHANDA
Middle Name:
Last Name:BANKS
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1427
Mailing Address - Street 2:
Mailing Address - City:CALERA
Mailing Address - State:AL
Mailing Address - Zip Code:35040-1427
Mailing Address - Country:US
Mailing Address - Phone:205-690-8926
Mailing Address - Fax:205-690-8314
Practice Address - Street 1:1305 10TH AVE
Practice Address - Street 2:SUITE E
Practice Address - City:CALERA
Practice Address - State:AL
Practice Address - Zip Code:35040-4672
Practice Address - Country:US
Practice Address - Phone:205-690-8926
Practice Address - Fax:205-690-8314
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-21
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3415101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional