Doctor Name: | MR. JAMES EDWARD BANKS |
NPI Number: | 1831249747 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 8515 |
Business Practice Address: | 502 S Walnut St Lampasas, TX - 765503158 |
Business Phone Number: | 5125565300 |
Business Fax Number: | 5125565016 |
Mailing Address: | 1118 Nix Rd, LAMPASAS |
State: | TX |
Postal Code: | 765501501 |
Phone Number: | 5125565300 |
Fax Number: | 5125565016 |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 8515 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |