# C. NICOLE BANKS LCSW, BEHAVIOR HEALTH, COUNSELING & CONSULTING SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356157390
- **Authorized official:** CYL NICOLE BANKS LCSW (OWNER)
- **Authorized official phone:** (601) 668-7828

## Contact information

- **Practice address:** 1000 HIGHLAND COLONY PARKWAY BUILDING 5000, SUITE 5203, RIDGELAND, MS 39157
- **Practice address phone:** (601) 460-0464
- **Mailing address:** 1000 HIGHLAND COLONY PARKWAY BLDG 5000, SUITE 5203, RIDGELAND, MS 39157
- **Mailing address phone:** (601) 460-0464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/04/2024
- **Last updated:** 12/04/2024