Organization
CLINICIANS OF MECKLENBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DASHUN BANKS LPC (CEO)
(919) 672-5005
Entity
Organization
Contact information
Practice address
11 UNION ST S # LL207, CONCORD, NC 28025-5059
(919) 672-5005
Mailing address
11 UNION ST S # LL207, CONCORD, NC 28025-5059
(919) 672-5005
(800) 806-0750
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33625
—
NC
Enumeration date
10/15/2018
Last updated
06/06/2022
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