Provider Demographics
NPI:1235006859
Name:BANEY, RODNEY ALLEN (TSPC LICENSE SCHOOL)
Entity type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:ALLEN
Last Name:BANEY
Suffix:
Gender:M
Credentials:TSPC LICENSE SCHOOL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1043 LINCOLN ST SW
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321
Mailing Address - Country:US
Mailing Address - Phone:541-905-4979
Mailing Address - Fax:541-369-3437
Practice Address - Street 1:32433 HWY 228
Practice Address - Street 2:PO BOX 200 HALSEY, OREGON 97348
Practice Address - City:HALSEY
Practice Address - State:OR
Practice Address - Zip Code:97348
Practice Address - Country:US
Practice Address - Phone:541-369-2851
Practice Address - Fax:541-369-3437
Is Sole Proprietor?:No
Enumeration Date:2025-10-20
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR170590101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool