Amanda Lois Creel Banta, LICSW Valid NPI

Individual provider · Clinical Social Worker · Northport, AL

NPI

1942065909

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

5110C-S (AL)

Sex

Female

Sole proprietor

No

Enumerated

2024-02-19

Last updated

2024-03-11