| Michele Bennefield | |
|
400 S Main St Ste C Mauldin SC 29662-2251 | |
| (864) 313-9032 | |
| (866) 808-0926 |
| Full Name | Michele Bennefield |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 400 S Main St Ste C, Mauldin, South Carolina |
| Authorized Official Name and Position | Michele Bennefield (LPC/OWNER) |
| Authorized Official Contact | 8643139032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Bennefield 400 S Main St Ste C Mauldin SC 29662-2251 Ph: (864) 313-9032 | Michele Bennefield 400 S Main St Ste C Mauldin SC 29662-2251 Ph: (864) 313-9032 |
| NPI Number | 1033616248 |
|---|---|
| Provider Enumeration Date | 04/12/2018 |
| Last Update Date | 04/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033616248 | NPI | - | NPPES |
| PC1359 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5669 (South Carolina) | Primary |
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