Individual provider · Type 1 NPI

Shadonna Roshawn Banks, LADAC 1

Addiction (Substance Use Disorder) Counselor · Memphis, TN

NPI number 1154964757 Active

Practice location

119 Racine St Ste 105
Memphis, TN 38111-2729

Mailing address

100 Oak Valley Dr
Coldwater, MS 38618-6021

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1619 (TN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1154964757

Shadonna Roshawn Banks, LADAC 1's National Provider Identifier is 1154964757, issued on Oct 26, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Memphis, TN. The record was last updated on Nov 19, 2025.