Provider Demographics
NPI:1932534468
Name:BANKS, SCOTT LEE (LPC, LAC)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:LEE
Last Name:BANKS
Suffix:
Gender:M
Credentials:LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 HIGHMEADOW RD
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-2102
Mailing Address - Country:US
Mailing Address - Phone:303-990-3673
Mailing Address - Fax:
Practice Address - Street 1:1776 S JACKSON ST STE 723
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3806
Practice Address - Country:US
Practice Address - Phone:720-515-8605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-03
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0000555101YA0400X
CO11533101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)