Individual provider · NPI-1

Catrina Banks

Clinic/Center, Mental Health (Including Community Mental Health Center) · Chesapeake, VA

NPI number1063889897
StatusActive
Last updated in NPPESJul 10, 2025

Details

NPI
1063889897
Entity type
Individual (NPI-1)
Name
Catrina Banks
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 27, 2015
Certification date
Jun 25, 2025
Last updated
Jul 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
101YM0800X Counselor, Mental Health4041–
103TH0100X Psychologist, Health Service––
106S00000X Behavior Technician––
374U00000X Home Health Aide474713318VA

Practice location

4406 Indian River Rd
Chesapeake, VA 23325-3131

Phone 912-247-9567

Mailing address

4406 Indian River Road
Norfolk, VA 23517-1312

Phone 757-748-7769

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