Healthcare Provider Details

I. General information

NPI: 1356750319
Provider Name (Legal Business Name): KENDRA BENDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KENDRA HARDING

II. Dates (important events)

Enumeration Date: 08/04/2014
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 TALLEY LOOP
BUDA TX
78610-5094
US

IV. Provider business mailing address

5401 FM 1626 STE 170
KYLE TX
78640-6043
US

V. Phone/Fax

Practice location:
  • Phone: 515-250-3438
  • Fax:
Mailing address:
  • Phone: 515-250-3438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: