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General NPI Number Information
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NPI Number | 1386527661
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Entity Type | Organization
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Legal Business Name | BRIDGET BENCKE-HIVELEY LLC
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 5000 WESTOWN PKWY STE 360
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City | WEST DES MOINES
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State | IA
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Zip | 50266-5921
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Country | US
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Telephone | 515-417-2416
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Fax |
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Provider Business Mailing Address
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Address Line | 9035 KINGMAN DR
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City | WEST DES MOINES
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State | IA
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Zip | 50266-1528
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Country | US
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Telephone | 515-669-6060
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRIDGET BENCKE-HIVELEY
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Credential | LMHC
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Telephone | 515-417-2416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health 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 | 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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