Healthcare Provider Details

I. General information

NPI: 1033048780
Provider Name (Legal Business Name): DELANEY ELISE BANZHOF MS, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 MACY DR
ROSWELL GA
30076-6346
US

IV. Provider business mailing address

6995 FRIX RD
CUMMING GA
30028-7558
US

V. Phone/Fax

Practice location:
  • Phone: 770-946-6508
  • Fax:
Mailing address:
  • Phone: 770-946-6508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: