Mr Glenn L Banks Jr, MFCT, LISAC - Counselor in Phoenix, AZ

Mr Glenn L Banks Jr, MFCT, LISAC is a Psychologist - Addiction (substance Use Disorder) based in Phoenix, Arizona. Mr Glenn L Banks Jr is licensed to practice in Arizona (license number LISAC-10525) and his current practice location is 18444 N 25th Ave Ste 210, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at (666) 974-2673.

NPI number for Mr Glenn L Banks Jr is 1053580381 and his current mailing address is 18444 N 25th Ave Ste 310, Phoenix, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053580381.

Contact Information

Mr Glenn L Banks Jr, MFCT, LISAC
18444 N 25th Ave Ste 210,
Phoenix, AZ 85023-1264
(666) 974-2673
(866) 939-2673

Map and Direction


Healthcare Provider's Profile

Full NameMr Glenn L Banks Jr
GenderMale
SpecialityPsychologist - Addiction (substance Use Disorder)
Location18444 N 25th Ave Ste 210, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053580381
  • Provider Enumeration Date: 02/20/2008
  • Last Update Date: 09/06/2022

Medical Identifiers

Medical identifiers for Mr Glenn L Banks Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053580381NPI-NPPES
250003MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 10525 (Arizona)Secondary
103TA0400XPsychologist - Addiction (substance Use Disorder) LISAC-10525 (Arizona)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. Mr Glenn L Banks Jr 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 AddressPractice Location Address
Mr Glenn L Banks Jr, MFCT, LISAC
18444 N 25th Ave Ste 310,
Phoenix, AZ 85023-1266

Ph: (866) 974-2673
Mr Glenn L Banks Jr, MFCT, LISAC
18444 N 25th Ave Ste 210,
Phoenix, AZ 85023-1264

Ph: (666) 974-2673

Reviews and Comments


Psychologist in Phoenix, AZ


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