Individual ProviderDavid BanksCounselorBehavioral Health & Social Service ProvidersPractice Address151 Mystic Ave, Medford, MA 02155-4632(781) 396-1199PECOS EnrollmentBased on the most recent information from CMS, provider David Banks does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1073782256Provider TypeIndividualFull NameBanks, DavidCredentialMHCGenderMaleSole ProprietorYesEnumeration Date2/21/2008Last Updated2/21/2008Contact InformationPractice LocationPractice Address151 Mystic Ave, Medford, MA 02155-4632Phone(781) 396-1199Fax(781) 396-1439Mailing LocationMailing Address151 Mystic Ave, Medford, MA 02155-4632Phone(781) 396-1199Fax(781) 396-1439Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer