SHADONNA ROSHAWN BANKS LADAC 1
NPI 1154964757
Counselor - Addiction (Substance Use Disorder) in Memphis, TN

Active since October 26, 2019
119 RACINE ST STE 105, MEMPHIS, TN 38111(470) 991-4088 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 19, 2025, Dec 3, 2019, Oct 26, 2019 (3 updates tracked since 2019).

About Shadonna Roshawn Banks Ladac 1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADONNA ROSHAWN BANKS LADAC 1 (NPI 1154964757) is an individual addiction (substance use disorder) provider in Memphis, Tennessee, licensed in Tennessee (1619) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1154964757
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHADONNA ROSHAWN BANKSCredential: LADAC 1
Location Address119 RACINE ST STE 105Memphis, TN 38111-2729
Mailing Address100 Oak Valley DrColdwater, MS 38618-6021 · (470) 991-4088 · Fax (901) 443-5089
Sole ProprietorYes
Enumeration DateOctober 26, 2019
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
NPI 1154964757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in TN · 1619
119 RACINE ST STE 105, Memphis, TN 38111

Other Names 1

Former Name (1)Shadonna Roshawn Banks Ladac 1

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
119 RACINE ST STE 105
MEMPHIS, TN 38111
Clinic/Center (Rehabilitation, Substance Use Disorder)
119 RACINE ST STE 105
MEMPHIS, TN 38111
Counselor (Addiction (Substance Use Disorder))
119 RACINE ST STE 105
MEMPHIS, TN 38111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shadonna Banks's NPI number?

The NPI number for Shadonna Banks is 1154964757. It was assigned to this individual provider in the NPPES registry on October 26, 2019. The provider is also known as Shadonna Roshawn Banks Ladac 1.

Where is Shadonna Banks located?

Shadonna Banks practices at 119 Racine St Ste 105, Memphis, TN 38111. The listed phone number is (470) 991-4088.

What is Shadonna Banks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shadonna Banks was last updated on November 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.