Banks, Iva Jill

Banks, Iva Jill is an individual health care provider with primary practice located at 300 E College Ave , Hartsville SC 29550-3742. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Banks, Iva Jill can be contacted via phone (843) 383-8099.

Contact Information

Primary practice address
300 E College Ave Hartsville SC 29550-3742
Phone: (843) 383-8099
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 524 South Carolina

Profile Details

NPI number 1144279746
LBN Legal business name Banks, Iva Jill
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144279746 NPPES
South Carolina Other 254 LICENSED COUNSELING PSYCH
South Carolina Other 1080 LICENSED COUNSELING PSYCH
South Carolina MEDICAID PS0119 LICENSED COUNSELING PSYCH

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