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General NPI Number Information
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NPI Number | 1376206599
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Entity Type | Organization
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Legal Business Name | CAROLINE BENTLEY FAMILY THERAPIST, INC
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Dates
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Enumeration Date | 10/14/2021
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 2368 MARITIME DR STE 200
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City | ELK GROVE
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State | CA
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Zip | 95758-3654
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Country | US
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Telephone | 916-896-1061
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Fax | 916-897-9821
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Provider Business Mailing Address
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Address Line | 2368 MARITIME DR STE 200
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City | ELK GROVE
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State | CA
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Zip | 95758-3654
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Country | US
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Telephone |
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Fax | 916-897-9821
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Authorized Official
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Title or Position | OWNER/PROGRAM DIRECTOR
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Name | CAROLINE BENTLEY
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Credential | LMFT
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Telephone | 747-777-0623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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