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NPI Code Detail

MEDICARE: MRS. TIFFANY YOUNGER BANKS

MEDICARE: MRS. TIFFANY YOUNGER BANKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLC12431MD

General Provider Information

NPI Number : 1710504923
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TIFFANY YOUNGER BANKS
Provider Business Mailing Address
First Line : 3261 OLD WASHINGTON RD STE 2020
Second Line :
City : WALDORF
State : MD
Zip : 20602-3231
Country : US
Telephone Number : 301-615-4150
Fax Number :
Provider Business Practice Location Address
First Line : 3261 OLD WASHINGTON RD STE 2031
Second Line :
City : WALDORF
State : MD
Zip : 20602-3313
Country : US
Telephone Number : 301-615-4150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2020
Last Update Date : 11/13/2025

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Directions to “ MRS. TIFFANY YOUNGER BANKS ” Practice Location

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