MEDICARE: ALISON RENEE' BANKSTON M. ED., LPC

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
1	101YP2500X	Professional Counselor	95953	TX

General Provider Information

NPI Number	:	1720800501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON RENEE' BANKSTON M. ED., LPC

Provider Business Mailing Address
First Line	:	9311 ANGELAS MEADOW LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-2158
Country	:	US
Telephone Number	:	832-606-8650
Fax Number	:

Provider Business Practice Location Address
First Line	:	9311 ANGELAS MEADOW LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-2158
Country	:	US
Telephone Number	:	832-606-8650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2024
Last Update Date	:	05/28/2026

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