Individual
ERICA DENISE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/P
Contact information
Practice address
1009 MAITLAND CENTER COMMONS BLVD # 32751, SUITE 212, MAITLAND, FL 32751-7270
(407) 636-3530
Mailing address
2700 WESTHALL LN, SUITE 207, MAITLAND, FL 32751-7203
(407) 636-3530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008332900
—
FL
Enumeration date
10/24/2013
Last updated
11/16/2015
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