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Larry Allen Bankston, CRPS,CAC
Peer Specialist in Pinellas Park, Florida
NPI 1588369482

Larry Allen Bankston is a Peer Specialist based in Pinellas Park, FL. Larry Allen Bankston practices in Pinellas Park, FL and has the professional credentials of CRPS,CAC. The NPI Number for Larry Allen Bankston is 1588369482 and holds a License No. CRPS.0100840.A (Florida).

The current practice location address for Larry Allen Bankston is 7114 79Th Ter N # 139, Pinellas Park, FL and can be reached out via phone at 727-421-2070.

Location: 7114 79Th Ter N # 139, Pinellas Park, FL, 33781-1918
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588369482
Provider Name
Larry Allen Bankston
Credential
CRPS,CAC
Provider Entity Type
Individual
Gender
Male
Address
7114 79Th Ter N # 139, Pinellas Park, FL, 33781-1918
Phone Number
727-421-2070
Fax Number
Provider Enumeration Date
04/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7114 79Th Ter N # 139
City
Pinellas Park
State
Florida
Zip
33781-1918
Phone Number
727-421-2070
Fax Number
person
Provider Business Mailing Address Details
Address
7114 79Th Ter N # 139
City
Pinellas Park
State
Florida
Zip
33781-1918
Phone Number
727-421-2070
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CRPS.0100840.A (Florida)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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