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BYRON K BANKS LPE
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1851311328
Individual Registrant: BYRON K BANKS LPE
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
2904 ARKANSAS BLVD TEXARKANA, AR 71854-2536 US
Tel: 870-773-4655 Fax: 870-772-4650
Tel: 870-773-4655 Fax: 870-772-4650
Contact information for business:
2904 ARKANSAS BLVD TEXARKANA, AR 71854-2536 US
Tel: 870-773-4655 Fax: 870-772-4650
Tel: 870-773-4655 Fax: 870-772-4650
Registration Information:
NPI: 1851311328
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | AR | 05-35AE-PL |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
