Provider Demographics
NPI:1386411627
Name:BANKS-JONES, KRISTY ELAINE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:ELAINE
Last Name:BANKS-JONES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4716 DURSEY DR
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-6409
Mailing Address - Country:US
Mailing Address - Phone:443-421-0597
Mailing Address - Fax:
Practice Address - Street 1:4716 DURSEY DR
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907-6409
Practice Address - Country:US
Practice Address - Phone:443-421-0597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW011480104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker