Individual
STEPHANIE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LAC, NCC
Contact information
Practice address
2964 CAMELLIA DR, SLIDELL, LA 70458-4229
(985) 260-2068
(985) 317-0139
Mailing address
2964 CAMELLIA DR, SLIDELL, LA 70458-4229
(985) 415-1128
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5033
LA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
7124
LA
Other
Enumeration date
10/26/2016
Last updated
05/10/2021
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