ROCKY EUGENE BANDA
NPI 1578870135
Peer Specialist in Converse, TX
- Individual
- Male
- Peer Specialist
About ROCKY BANDA
This page provides the complete NPI Profile along with additional information for Rocky Banda, a provider established in Converse, Texas with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1578870135 assigned on September 2010. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1578870135 Verify this NPI
- Provider Name
- ROCKY EUGENE BANDA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 101 PEACEFUL LN CONVERSE, TX 78109
- Location Phone
- (210) 248-9077
- Mailing Address
- PO BOX 28220 SANTA FE, NM 87592
- Mailing Phone
- (505) 471-5006
- Mailing Fax
- (505) 820-9220
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-02-2010
- Last Update Date
- 02-17-2022
- Code Navigator
Location Map
Secondary Locations
- 121 Townsgate Plz
Clovis, NM 88101
(575) 742-2620
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578870135, enumerated as an "individual" on September 02, 2010.
The provider is located at 101 PEACEFUL LN CONVERSE, TX 78109 and the phone number is (210) 248-9077.
Peer Specialist with taxonomy code 175T00000X.