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General NPI Number Information
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NPI Number | 1245012558
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Entity Type | Organization
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Legal Business Name | BENTLEY THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 10/20/2023
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 27457 HOLIDAY LN STE H
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City | PERRYSBURG
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State | OH
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Zip | 43551-3300
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Country | US
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Telephone | 419-315-3102
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Fax |
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Provider Business Mailing Address
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Address Line | 711 N SUMMIT ST
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City | BOWLING GREEN
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State | OH
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Zip | 43402-1806
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Country | US
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Telephone | 419-315-3102
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | SHANA BENTLEY
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Credential | LPCC-S
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Telephone | 419-315-3102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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