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Michael Wayne Bankston Jr.

Clinic/Center, Mental Health (Including Community Mental Health Center) in New Orleans, LA. Individual provider (NPI-1).

NPI number1053220756
StatusActive
Last updated in NPPESSep 7, 2026

Details

NPI
1053220756
Entity type
Individual (NPI-1)
Name
Mr. Michael Wayne Bankston Jr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 7, 2026
Certification date
Sep 7, 2026
Last updated
Sep 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)–LAYes

Practice location

6324 Chef Menteur Hwy
New Orleans, LA 70126-5110

Phone 504-910-0252

Mailing address

6324 Chef Menteur Hwy
New Orleans, LA 70126-5110

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