Ebanks Clinicians

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EBANKS CLINICIANS

Practice address

1602 Royal Ave
Monroe, LA 71201-5612

Phone

(318) 325-7725

Fax

(318) 325-7735

NPI assigned

Dec 29, 2021

Last updated

Jul 6, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dustin Ebanks

Title

President

Phone

(504) 256-3478

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1093475204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 ROYAL AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015612",
            "telephone_number": "318-325-7725",
            "fax_number": "318-325-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ROYAL AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015612",
            "telephone_number": "318-325-7725",
            "fax_number": "318-325-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBANKS CLINICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "EBANKS",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-256-3478"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Monroe, LA
• Providers in Monroe, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.