Provider Demographics
NPI:1952047011
Name:BANES, LANZ CHRISTIAN (LMSW, LCSW)
Entity Type:Individual
Prefix:
First Name:LANZ
Middle Name:CHRISTIAN
Last Name:BANES
Suffix:
Gender:M
Credentials:LMSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 TULANE AVE APT 259
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-6753
Mailing Address - Country:US
Mailing Address - Phone:909-569-3548
Mailing Address - Fax:
Practice Address - Street 1:4301 TULANE AVE APT 259
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6753
Practice Address - Country:US
Practice Address - Phone:909-569-3548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1068901041C0700X
LA166941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical