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General NPI Number Information
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NPI Number | 1063889897
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Entity Type | Individual
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Provider Name | CATRINA BANKS
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Gender | Female
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Dates
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Enumeration Date | 08/27/2015
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 4406 INDIAN RIVER RD
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City | CHESAPEAKE
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State | VA
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Zip | 23325-3131
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Country | US
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Telephone | 912-247-9567
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Fax |
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Provider Business Mailing Address
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Address Line | 4406 INDIAN RIVER ROAD
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City | NORFOLK
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State | VA
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Zip | 23517-1312
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Country | US
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Telephone | 757-748-7769
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4041
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 474713318
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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