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NPI Code Detail

MEDICARE: DEMETRA I BANKS LPC

MEDICARE: DEMETRA I BANKS LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1659137024
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEMETRA I BANKS LPC
Provider Business Mailing Address
First Line : 3749 S SH 161
Second Line : 4436
City : GRAND PRAIRIE
State : TX
Zip : 75052-1336
Country : US
Telephone Number : 713-858-9992
Fax Number :
Provider Business Practice Location Address
First Line : 201 E DEBBIE LN
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-2924
Country : US
Telephone Number : 817-366-9332
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2024
Last Update Date : 06/30/2026

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Directions to “ DEMETRA I BANKS LPC” Practice Location

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