| Stephanie Banks | |
|
2964 Camellia Dr Slidell LA 70458-4229 | |
| (985) 260-2068 | |
| (985) 317-0139 |
| Full Name | Stephanie Banks |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2964 Camellia Dr, Slidell, Louisiana |
| Authorized Official Name and Position | Stephanie Ann Banks (OWNER) |
| Authorized Official Contact | 9852602068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Banks 2964 Camellia Dr Slidell LA 70458-4229 Ph: (985) 260-2068 | Stephanie Banks 2964 Camellia Dr Slidell LA 70458-4229 Ph: (985) 260-2068 |
| NPI Number | 1376127910 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 05/10/2021 |
| Certification Date | 05/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376127910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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