Healthcare Provider Details

I. General information

NPI: 1689850950
Provider Name (Legal Business Name): ALLISON ELISABETH BANBURY LCPC, NCC, LPCMH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2008
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7801 YORK RD STE 327
TOWSON MD
21204-7449
US

IV. Provider business mailing address

7801 YORK RD STE 327
TOWSON MD
21204-7449
US

V. Phone/Fax

Practice location:
  • Phone: 443-286-4146
  • Fax:
Mailing address:
  • Phone: 443-286-4146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC-12859
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC-12859
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLC-12859
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: