| Bennett Counseling And Wellness, Pllc | |
|
515 E Broad St Statesville NC 28677-5330 | |
| (704) 251-2797 | |
| Not Available |
| Full Name | Bennett Counseling And Wellness, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 515 E Broad St, Statesville, North Carolina |
| Authorized Official Name and Position | Mary C Bennett (LCSW/OWNER) |
| Authorized Official Contact | 7042512797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bennett Counseling And Wellness, Pllc 515 E Broad St Statesville NC 28677-5330 Ph: (704) 500-4081 | Bennett Counseling And Wellness, Pllc 515 E Broad St Statesville NC 28677-5330 Ph: (704) 251-2797 |
| NPI Number | 1528641123 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 04/30/2021 |
| Certification Date | 04/30/2021 |
| Medicare PECOS PAC ID | 7810396280 |
|---|---|
| Medicare Enrollment ID | O20210604002209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528641123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mary C Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609228220 PECOS PAC ID: 5395095681 Enrollment ID: I20180907000065 |
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