Mark Cody Banta, LPC
Counselor, Mental Health in McLoud, OK. Individual provider (NPI-1).
NPI number1013138965
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1013138965
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark Cody Banta
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 1, 2007
- Certification date
- Jul 13, 2026
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 04525 | OK | Yes |
Practice location
105365 S.Hwy 102McLoud, OK 74851
Phone 405-988-2618
Mailing address
43925 Hunters Hill DrShawnee, OK 74801-8927
Phone 405-988-2075
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All 9 Mental Health Counselor providers in McLoud · All 116 providers in McLoud
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