Healthcare Provider Details
I. General information
NPI: 1538972567
Provider Name (Legal Business Name): VICTORIA MARIE BANKS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/31/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1500 INDUSTRIAL BLVD STE 305-B
ABILENE TX
79602-7969
US
IV. Provider business mailing address
1742 N 16TH ST
ABILENE TX
79603-4418
US
V. Phone/Fax
- Phone: 325-268-9458
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 90436 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 90436 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: