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NPI Code Detail

MEDICARE: CHANTAIL BANKS GREEN

MEDICARE: CHANTAIL BANKS GREEN
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
1101YM0800XMental Health Counselor84147TX

General Provider Information

NPI Number : 1851018048
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANTAIL BANKS GREEN
Provider Business Mailing Address
First Line : 9002 DONYS DR
Second Line :
City : HOUSTON
State : TX
Zip : 77040-1507
Country : US
Telephone Number : 832-661-9614
Fax Number :
Provider Business Practice Location Address
First Line : 9401 SOUTHWEST FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77074-1407
Country : US
Telephone Number : 713-970-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2022
Last Update Date : 06/02/2026

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Directions to “ CHANTAIL BANKS GREEN ” Practice Location

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