Marcus L Banks
Individual provider Active NPI Mental Health Counselor · Gaston, NC
NPI 1154912178 · NPPES record last updated Feb 2, 2021
Key facts
- NPI
- 1154912178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2616 NC Highway 46
Gaston, NC 27832-9101 - Phone
- (919) 414-2205
- NPI assigned
- Feb 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2616 NC Highway 46
Gaston, NC 27832-9101
Mailing address
2616 NC Highway 46
Gaston, NC 27832-9101
Phone (919) 414-2205
Other practice location 1
710 Old Barn Ave
Durham, NC 27704-1210
Phone (919) 824-7961
Other providers in Gaston, NC
- 46 Freight LLC
- Cardinal 360 Logistics LLC
- Dawn Daly-Mack
- Gaston Volunteer Rescue Squad Inc
- Hobbs Counseling PLLC
- Natashja Averice Hunter
All providers in Gaston, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.