Individual provider · Type 1 NPI
Mark Cody Banta, LPC
Mental Health Counselor · Mcloud, OK
NPI number
1013138965
Active
Practice location
105365 S.hwy 102
Mcloud, OK 74851
Mailing address
43925 Hunters Hill Dr
Shawnee, OK 74801-8927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 04525 (OK) |
Mental Health Counselor: Definition to come...
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About NPI 1013138965
Mark Cody Banta, LPC's National Provider Identifier is 1013138965, issued on May 1, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mcloud, OK. The record was last updated on Jul 13, 2026.