BANNER COUNSELING & WELLNESS PLLC
NPI 1083599716
Counselor - Professional in Tyler, TX
Active since August 11, 2025
About Banner Counseling & Wellness Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BANNER COUNSELING & WELLNESS PLLC (NPI 1083599716) is a healthcare organization registered as a professional in Tyler, Texas and active in the NPI registry since August 2025. The organization lists Lauren Peacock, Therapist, Owner, as its authorized official.
NPPES Registry Identity
NPI1083599716
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameBANNER COUNSELING & WELLNESS PLLC
Location Address2269 W CUMBERLAND RD STE 202Tyler, TX 75703-5481
Mailing Address2269 W Cumberland Rd Ste 202Tyler, TX 75703-5481 · (903) 714-7205
Phone(903) 714-7205
Organization SubpartNo
Authorized OfficialLauren PeacockTherapist, Owner · (903) 714-7205
Enumeration DateAugust 11, 2025
NPPES CertifiedAugust 11, 2025
✔ NPI 1083599716 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2269 W CUMBERLAND RD STE 202, Tyler, TX 75703
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083599716, enumerated as an "organization" on August 11, 2025.
The provider is located at 2269 W CUMBERLAND RD STE 202 TYLER, TX 75703 and the phone number is (903) 714-7205.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
