| C. Nicole Banks Lcsw, Behavior Health, Counseling & Consulting Service | |
|
1000 Highland Colony Parkway Building 5000 Suite 5203 Ridgeland MS 39157 | |
| (601) 460-0464 | |
| Not Available |
| Full Name | C. Nicole Banks Lcsw, Behavior Health, Counseling & Consulting Service |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1000 Highland Colony Parkway Building 5000, Ridgeland, Mississippi |
| Authorized Official Name and Position | Cyl Nicole Banks (OWNER) |
| Authorized Official Contact | 6016687828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C. Nicole Banks Lcsw, Behavior Health, Counseling & Consulting Service 1000 Highland Colony Parkway Bldg 5000 Suite 5203 Ridgeland MS 39157 Ph: (601) 460-0464 | C. Nicole Banks Lcsw, Behavior Health, Counseling & Consulting Service 1000 Highland Colony Parkway Building 5000 Suite 5203 Ridgeland MS 39157 Ph: (601) 460-0464 |
| NPI Number | 1356157390 |
|---|---|
| Provider Enumeration Date | 12/04/2024 |
| Last Update Date | 12/04/2024 |
| Certification Date | 12/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356157390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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