Active NPIIndividual provider

Mr. Mark A Bennett, LCPC-C

Counselor, Professional in Bangor, Maine

NPI Number1073031340
Practice location
166 Broadway, Bangor, ME 04401-5208
Fax
—
Last updated
May 1, 2018

Mark Allen Bennett is a Counselor, Professional based in Bangor, ME. Mark Allen Bennett practices in Bangor, ME and has the professional credentials of LCPC-C. The NPI Number for Mark Allen Bennett is 1073031340 and holds a License No. XL4496 (ME). The current practice location address for Mark Allen Bennett is 166 Broadway, Bangor, ME 04401-5208 and can be reached out via phone at 207-947-9630.

Provider Profile Details

NPI Number
1073031340
Provider Name
Mark Allen Bennett
Credential
LCPC-C
Provider Entity Type
Individual
Gender
Male
Address
166 Broadway, Bangor, ME 04401-5208
Phone Number
207-947-9630
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
September 6, 2017
Last Update Date
May 1, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
166 Broadway
Bangor, ME 04401-5208
City
Bangor
State
Maine
Zip
04401-5208
Phone Number
207-947-9630
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
166 Broadway
Bangor, ME 04401-5208
City
Bangor
State
ME
Zip
04401-5208
Phone Number
207-992-3036

License Information

License Number
XL4496
License State
ME
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Mark A Bennett, LCPC-C?

The NPI number of Mr. Mark A Bennett, LCPC-C is 1073031340. It was assigned on September 6, 2017 and is currently active in the NPPES registry.

What is the specialty of Mr. Mark A Bennett, LCPC-C?

Mr. Mark A Bennett, LCPC-C is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in ME under license number XL4496.

Where does Mr. Mark A Bennett, LCPC-C practice?

The practice location is 166 Broadway, Bangor, ME 04401-5208. The office can be reached at 207-947-9630 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073031340 directly on the NPPES registry website.

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