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General NPI Number Information
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NPI Number | 1366034811
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Entity Type | Organization
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Legal Business Name | PREVAIL COUNSELING PLLC
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Dates
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Enumeration Date | 02/05/2021
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 907 S OREM BLVD UNIT A
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City | OREM
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State | UT
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Zip | 84058-5011
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Country | US
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Telephone | 801-717-9204
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Fax |
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Provider Business Mailing Address
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Address Line | 907 S OREM BLVD UNIT A
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City | OREM
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State | UT
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Zip | 84058-5011
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Country | US
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Telephone | 801-717-9204
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY J. BENTLEY
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Credential | PSYD
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Telephone | 801-718-5315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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