Elizabeth Bennett Counseling | |
100 W 3rd St Ste 304 Owensboro KY 42303-4129 | |
(270) 315-1443 | |
(270) 228-0341 |
Full Name | Elizabeth Bennett Counseling |
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Speciality | Clinic/Center |
Location | 100 W 3rd St Ste 304, Owensboro, Kentucky |
Authorized Official Name and Position | Virginia E T Bennett (SOLE PROPRIETOR) |
Authorized Official Contact | 2703151443 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elizabeth Bennett Counseling 100 W 3rd St Ste 304 Owensboro KY 42303-4129 Ph: (270) 315-1443 | Elizabeth Bennett Counseling 100 W 3rd St Ste 304 Owensboro KY 42303-4129 Ph: (270) 315-1443 |
NPI Number | 1750881066 |
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Provider Enumeration Date | 02/14/2018 |
Last Update Date | 02/14/2018 |
Medicare PECOS PAC ID | 5698036416 |
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Medicare Enrollment ID | O20180219001004 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750881066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Virginia Elizabeth Taylor Bennett |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578953618 PECOS PAC ID: 2567731953 Enrollment ID: I20170628000648 |
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