Chianti Banks
Individual provider Active NPI Community/Behavioral Health Agency · Seneca, SC
NPI 1669898581 · NPPES record last updated Mar 17, 2014
Key facts
- NPI
- 1669898581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- .94438 (SC)
- Practice address
- 609 N Townville St
Seneca, SC 29678-2642 - Phone
- (864) 882-2245
- NPI assigned
- Mar 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| .94438 | SC | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of South Carolina | Past |
Accepting new patients | |
| State of South Carolina Comptroller General | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | .94438 | SC | Yes |
Addresses
Primary practice location
609 N Townville St
Seneca, SC 29678-2642
Mailing address
609 N Townville St
Seneca, SC 29678-2642
Phone (864) 882-2245
Other providers in Seneca, SC
- Mark A Ayers
- Elise Barbara Babineau
- Andrea Babinski
- Balanced Life Wellness
- Diwas Bam
- Shelly Lain Barber
- Barbara Jane Barker
- Lynn Campbell Barker
- Mollie C Barrow
- Mary Elizabeth Baskins
All providers in Seneca, SC · Community/Behavioral Health Agency in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2014. 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.