DEZELLA MARIE BANKS
NPI 1609057520
Counselor - Addiction (Substance Use Disorder) in Tarzana, CA
Active since November 19, 2007
About Dezella Marie Banks NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEZELLA MARIE BANKS (NPI 1609057520) is an individual addiction (substance use disorder) provider in Tarzana, California, licensed in California (R1503650423) and active in the NPI registry since November 2007.
NPPES Registry Identity
NPI1609057520
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDEZELLA MARIE BANKS
Location Address18646 OXNARD STTarzana, CA 91356-1411
Mailing Address18646 Oxnard StTarzana, CA 91356-1411 · (818) 996-1051
Phone(818) 996-1051
Sole ProprietorNo
Enumeration DateNovember 19, 2007
Last NPPES UpdateJanuary 2, 2024
NPPES CertifiedJanuary 2, 2024
✔ NPI 1609057520 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 CA · R1503650423
18646 OXNARD ST, Tarzana, CA 91356
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Student in an Organized Health Care Education/Training Program
18646 OXNARD ST
TARZANA, CA 91356
TARZANA, CA 91356
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609057520, enumerated as an "individual" on November 19, 2007.
The provider is located at 18646 OXNARD ST TARZANA, CA 91356 and the phone number is (818) 996-1051.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
