Individual
KAELI NICOLE BANAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 PARK AVE, LEBANON, TN 37087-3664
(615) 449-9611
(615) 453-7051
Mailing address
440 PARK AVE, LEBANON, TN 37087-3664
(615) 449-9611
(615) 453-7051
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7119
TN
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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