| Marilyn Bennett, Lmhc | |
|
4185 Us Highway 1 Suite 102 Rockledge FL 32955-5384 | |
| (321) 631-5538 | |
| (321) 631-5154 |
| Full Name | Marilyn Bennett, Lmhc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4185 Us Highway 1, Rockledge, Florida |
| Authorized Official Name and Position | Marilyn Bennett (OWNER) |
| Authorized Official Contact | 3216315538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marilyn Bennett, Lmhc Po Box 560875 Rockledge FL 32956-0875 Ph: (321) 631-5538 | Marilyn Bennett, Lmhc 4185 Us Highway 1 Suite 102 Rockledge FL 32955-5384 Ph: (321) 631-5538 |
| NPI Number | 1568908234 |
|---|---|
| Provider Enumeration Date | 01/18/2017 |
| Last Update Date | 01/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568908234 | NPI | - | NPPES |
| MD7681 | Other | FLORIDA DEPARTMENT OF HEALTH - LICENSE | |
| 1295552736 | Other | NATIONAL PROVIDER IDENTIFIER - INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH7681 (Florida) | Primary |
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