Earl Banks

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ferriday, LA

NPI 1508565359 · NPPES record last updated Mar 1, 2023

Key facts

NPI
1508565359
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
109 Doty Rd
Ferriday, LA 71334-4053
Phone
(318) 437-7040
NPI assigned
Mar 1, 2023
Sex
Male
Sole proprietor
No

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

109 Doty Rd
Ferriday, LA 71334-4053

Mailing address

435 Townsend Lane
Ferriday, LA 71334
Phone (318) 719-1742

Other providers in Ferriday, LA

All providers in Ferriday, LA · Addiction (Substance Use Disorder) Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.