Organization
C. NICOLE BANKS LCSW, BEHAVIOR HEALTH, COUNSELING & CONSULTING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYL NICOLE BANKS LCSW (OWNER)
(601) 668-7828
Entity
Organization
Contact information
Practice address
1000 HIGHLAND COLONY PARKWAY BUILDING 5000, SUITE 5203, RIDGELAND, MS 39157
(601) 460-0464
Mailing address
1000 HIGHLAND COLONY PARKWAY BLDG 5000, SUITE 5203, RIDGELAND, MS 39157
(601) 460-0464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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