Healthcare Provider Details

I. General information

NPI: 1104685809
Provider Name (Legal Business Name): BRIANNA ARRINGTON BANKS LGPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2024
Last Update Date: 03/15/2024
Certification Date: 03/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 CAMPUS WAY N
LANHAM MD
20706-2687
US

IV. Provider business mailing address

2601 CAMPUS WAY N
LANHAM MD
20706-2687
US

V. Phone/Fax

Practice location:
  • Phone: 240-606-2506
  • Fax:
Mailing address:
  • Phone: 240-606-2506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP14836
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: