Latesha Renee Banks, MA
Individual provider Active NPI Mental Health Counselor · Melrose Park, IL
NPI 1649080730 · NPPES record last updated Jan 10, 2025
Key facts
- NPI
- 1649080730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1414 Main St
Melrose Park, IL 60160-3902 - Phone
- (708) 681-0073
- Fax
- (708) 681-3958
- NPI assigned
- Jan 10, 2025
- Sex
- Female
- 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
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1414 Main St
Melrose Park, IL 60160-3902
Mailing address
1414 Main St
Melrose Park, IL 60160-3902
Phone (708) 681-0073
Other providers in Melrose Park, IL
- John Bajgrowicz
- Susan Calvadores Balverde
- Anoop Banathia
- Vishali Banathia
- Manatosh Banerji
- Douglas William Barge
- Tionna A Barney
- Irene Barquin
- Julie Bartoski
- Carlos G. Bautista Sr.
All providers in Melrose Park, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2025. 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.