Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | TX | |
Y | 101YP1600X | Pastoral Counselor | TX | |
N | 101YP2500X | Professional Counselor | TX |
NPI | 1093331944 |
---|---|
Provider Name | Haleh Banani |
First Address | Allen, TX 75013-3088 |
Second Address | Allen, TX 75013-8113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2020 |
Last Update Date | 19/02/2021 |