MR. GLENN L BANKS JR. (NPI# 1053580381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053580381 |
| Entity Type | Individual |
| Full Name | MR. GLENN L BANKS JR. |
| Credential | MFCT, LISAC |
| Practice Address |
2120 S Mcclintock Dr Suite 105 Tempe AZ 85282-2692 |
| Practice Telephone | 4808040326 |
| Practice Fax Number | 4803027884 |
| Mailing Telephone | 4808040326 |
| Mailing Fax Number | 4803027884 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2013-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
10525 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 250003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518970441 | Glenn Banks | Dentist | 5438 North Fwy, Houston, TX 77076-4701 | 2006-08-14 |
| Street Address |
2120 S MCCLINTOCK DR SUITE 105 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-2692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902885031 | Patricia L Birmingham | Counselor | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2006-01-17 |
| 1730676313 | Megan Gittins | Counselor | 2120 S Mcclintock Dr, Tempe, AZ 85282-2692 | 2018-04-18 |
| 1164963567 | Jenalee Remy | Counselor | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2017-03-17 |
| 1942749361 | Esther Delpozo | Social Worker | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2017-02-17 |
| 1215473806 | Miriam Emran | Counselor | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2017-01-06 |
| 1497299432 | Lisa Mendoza | Counselor | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2016-12-09 |
| 1699218008 | Rebecca Jensen | Counselor | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2016-12-02 |
| 1154863595 | Franchesca V Johnson | Social Worker | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2016-11-16 |
| 1861934200 | Courtney South | Counselor | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2016-11-16 |
| 1457893349 | Allison Laughlin | Social Worker | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2016-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780149468 | Stacie Barkin | Counselor | 2600 E Southern Ave Ste E1, Tempe, AZ 85282-7744 | 2019-02-06 |
| 1790225415 | John Moakler | Counselor | 1208 E Broadway Rd, Suite 215, Tempe, AZ 85282-1514 | 2017-02-28 |
| 1477973170 | Awakening Recovery Center | Counselor | 1204 E Baseline Rd, Suite 208, Tempe, AZ 85283-1454 | 2014-04-21 |
| 1205157021 | Marcia Diane | Counselor | 1801 S. Jentilly Lane, Suite B-16, Tempe, AZ 85281 | 2010-06-15 |
| 1265663504 | Sharon Suzette Smith-wilborn | Counselor | 4839 S Darrow Dr, G162, Tempe, AZ 85282-6684 | 2009-08-04 |
| 1194967612 | Deborah Jeongweon Cheng | Counselor | 2120 S. Mcclintock Dr, Suite 105, Tempe, AZ 85282-4950 | 2009-03-30 |
| 1215193826 | Don De Valle | Counselor | 921 E Mission Dr, Tempe, AZ 85283-4785 | 2008-08-03 |
| 1356517676 | Joshua Locke Azevedo | Counselor | 648 S River Dr, Tempe, AZ 85281-3012 | 2008-05-06 |
| 1801069216 | Dorothea Thereasa De Lugt Collins | Counselor | 730 E Solana Dr, Tempe, AZ 85281-6836 | 2008-04-07 |
| 1225209380 | Azevedo Inc | Counselor | 4820 S. Mill Ave., Suite 101, Tempe, AZ 85282 | 2008-03-17 |
| Find all providers in TEMPE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.