Provider Information for 1073916524
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
EUNICE BANKS LMSW
Other Names:Professional Name:EUNICE CAROLYN BANKS LCSWSex: Female
NPI: 1073916524
Last Updated: 2014-09-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1073916524 | ||||||||||||
| Enumeration Date | 2014-09-29 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 19115 W 7 MILE RD DETROIT, MI 48219-2706 United States Phone: 313-255-6000 | Fax:313-255-0051 | ||||||||||||
| Primary Practice Address | 19115 W 7 MILE RD DETROIT, MI 48219-2706 United States Phone: 313-255-6000 | Fax:313-255-0051 | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|