NPI 1639306699 · live from the CMS NPI Registry
Nancy Cody Bankston, LPC, LMFT
Marriage & Family Therapist in Stockbridge, GA. National Provider Identifier 1639306699, active.
NPI record
| NPI | 1639306699 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 275 Country Club Dr, Stockbridge, GA 30281 |
| Practice phone | 770-474-8400 |
| Enumerated | June 17, 2009 |
| Last updated | November 18, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | LPC006661 (GA) |
| Counselor, Mental Health | 101YM0800X | APC002290 (GA) |
| Marriage & Family Therapist primary | 106H00000X | MFT001185 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.