Tequila Olivia Banks, LPC in Norcross, GA - Counselor

Tequila Olivia Banks, LPC is a Counselor - Professional based in Norcross, Georgia. Tequila Olivia Banks is licensed to practice in Georgia (license number LPC0011830) and her current practice location is 8303 Dunleaf Arc Way Nw, Norcross, Georgia. She can be reached at her office (for appointments etc.) via phone at (470) 658-8156.

NPI number for Tequila Olivia Banks is 1013517465 and her current mailing address is 8303 Dunleaf Arc Way Nw, Norcross, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013517465.

Contact Information

	Tequila Olivia Banks, LPC
	8303 Dunleaf Arc Way Nw, Norcross, GA 30093
	(470) 658-8156
	Not Available

Healthcare Provider's Profile

Full Name	Tequila Olivia Banks
Gender	Female
Speciality	Counselor - Professional
Location	8303 Dunleaf Arc Way Nw, Norcross, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1013517465
Provider Enumeration Date: 10/27/2020
Last Update Date: 11/27/2023

Medical Identifiers

Medical identifiers for Tequila Olivia Banks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013517465	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC0011830 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tequila Olivia Banks is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tequila Olivia Banks, LPC 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 Ph: (470) 658-8156	Tequila Olivia Banks, LPC 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 Ph: (470) 658-8156

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Counselor in Norcross, GA

Dr. Reginald B. Riley, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8000 Miller Ct E, Norcross, GA 30071 Phone: 770-734-8091 Fax: 770-734-8094
Dr. Anthony S Lewis, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 5712 Pine Oak Dr, Norcross, GA 30092 Phone: 770-696-1549
Mercianna R Oliver, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1780 Graves Rd Apt 514, Norcross, GA 30093 Phone: 404-493-3803
Lan Chen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3200 Pointe Pkwy, Suite 400, Peachtree Corners, Norcross, GA 30092 Phone: 678-259-9298
Kenanesha Owens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 Phone: 770-696-9231
Diana L Woodruff, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 4530 South Berkeley Lake Rd, Suite B, Norcross, GA 30071 Phone: 770-446-5642 Fax: 770-446-5643

Tequila Olivia Banks, LPC - Counselor in Norcross, GA