Tyesha Denise Banks, MSW
Counselor, Mental Health in Deltona, FL. Individual provider (NPI-1).
NPI number1982202834
StatusActive
Last updated in NPPESOct 14, 2020
Details
- NPI
- 1982202834
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tyesha Denise Banks
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2020
- Certification date
- Oct 14, 2020
- Last updated
- Oct 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
517 Deltona Blvd Ste ADeltona, FL 32725-8016
Phone 407-706-7558
Mailing address
517 Deltona Blvd Ste ADeltona, FL 32725-8016
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