person
Mr. Benjamin K Bentley, LCAS,LCMHCS
Professional Counselor in Lewisville, North Carolina
NPI 1013920784

Benjamin K Bentley is a Professional Counselor based in Winston Salem, NC and is specialized in Professional. Benjamin K Bentley practices in Lewisville, NC and has the professional credentials of LCAS,LCMHCS. The NPI Number for Benjamin K Bentley is 1013920784 and holds a License No. 685 (North Carolina).

The current practice location address for Benjamin K Bentley is 6614 Shallowford Rd Ste 250, Lewisville, NC and can be reached out via phone at 336-945-0137 and via fax at 336-946-9084.

Location: 6614 Shallowford Rd Ste 250, Lewisville, NC, 27106-9820
person
Provider Profile Details
NPI Number
1013920784
Provider Name
Benjamin K Bentley
Credential
LCAS,LCMHCS
Provider Entity Type
Individual
Gender
Male
Address
6614 Shallowford Rd Ste 250, Lewisville, NC, 27106-9820
Phone Number
336-945-0137
Fax Number
336-946-9084
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6102194 05 NC
institution
Provider Business Practice Location Address Details
Address
6614 Shallowford Rd Ste 250
City
State
Zip
27023-9305
Phone Number
336-945-0137
Fax Number
336-946-9084
person
Provider Business Mailing Address Details
Address
6614 Shallowford Rd Ste 250
City
State
Zip
27023-9305
Phone Number
336-945-0137
Fax Number
336-946-9084
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4754 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
685 (North Carolina)
Definition
Definition to come...
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