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Payton Bencivenga
Mental Health Counselor in Indian Trail, North Carolina
NPI 1063198174

Payton Bencivenga is a Mental Health Counselor based in Indian Trail, NC and is specialized in Mental Health. Payton Bencivenga practices in Indian Trail, NC. The NPI Number for Payton Bencivenga is 1063198174 and holds a License No. A18880 (North Carolina).

The current practice location address for Payton Bencivenga is 120 Unionville Indian Trail Rd W Ste B202, Indian Trail, NC and can be reached out via phone at 704-234-8003.

Location: 120 Unionville Indian Trail Rd W Ste B202, Indian Trail, NC, 28079-5670
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063198174
Provider Name
Payton Bencivenga
Credential
Provider Entity Type
Individual
Gender
Female
Address
120 Unionville Indian Trail Rd W Ste B202, Indian Trail, NC, 28079-5670
Phone Number
704-234-8003
Fax Number
Provider Enumeration Date
06/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 Unionville Indian Trail Rd W Ste B202
City
Indian Trail
State
North Carolina
Zip
28079-5670
Phone Number
704-234-8003
Fax Number
person
Provider Business Mailing Address Details
Address
120 Unionville Indian Trail Rd W Ste B202
City
Indian Trail
State
North Carolina
Zip
28079-5670
Phone Number
704-234-8003
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
A18880 (North Carolina)
Definition
Definition to come...
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