Individual ProviderEvelyne BanksCounselorBehavioral Health & Social Service ProvidersPractice Address1126 W Foothill Blvd Ste 110, Upland, CA 91786-3786(909) 985-0513(909) 329-8238PECOS EnrollmentBased on the most recent information from CMS, provider Evelyne 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 4 days ago.Profile DetailsProvider ID1477090413Provider TypeIndividualFull NameBanks, EvelyneCredentialD.MINGenderFemaleSole ProprietorYesEnumeration Date1/29/2017Last Updated1/29/2017Contact InformationPractice LocationPractice Address1126 W Foothill Blvd Ste 110, Upland, CA 91786-3786Phone(909) 985-0513Fax(909) 985-7193Mailing LocationMailing Address1126 W Foothill Blvd Ste 110, Upland, CA 91786-3786Phone(909) 329-8238Fax(909) 985-7193Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer