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Organization
EBANKS CLINICIANS
Active
Organization
EBANKS CLINICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN EBANKS (PRESIDENT)
(504) 256-3478
Entity
Organization
Contact information
Practice address
1602 ROYAL AVE, MONROE, LA 71201-5612
(318) 325-7725
(318) 325-7735
Mailing address
1602 ROYAL AVE, MONROE, LA 71201-5612
(318) 325-7725
(318) 325-7735
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
07/06/2023
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