Shadonna Roshawn Banks, LADAC 1
Counselor, Addiction (Substance Use Disorder) in Memphis, TN. Individual provider (NPI-1).
NPI number1154964757
StatusActive
Last updated in NPPESNov 19, 2025
Details
- NPI
- 1154964757
- Entity type
- Individual (NPI-1)
- Name
- Shadonna Roshawn Banks
- Credential
- LADAC 1
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2019
- Certification date
- Nov 19, 2025
- Last updated
- Nov 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 1619 | TN | Yes |
Other names
- Shadonna Roshawn Banks (Former Name)
Practice location
119 Racine St Ste 105Memphis, TN 38111-2729
Phone 470-991-4088
Mailing address
100 Oak Valley DrColdwater, MS 38618-6021
Phone 470-991-4088 · Fax 901-443-5089
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All 71 Addiction (Substance Use Disorder) Counselor providers in Memphis · All 16,727 providers in Memphis
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