=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750207031
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BENTLEY COUNSELING AND CONSULTING PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/29/2026
-----------------------------------------------------
Last Update Date | 06/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3313 W 24TH AVE
-----------------------------------------------------
City | KENNEWICK
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99337-2413
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-438-9256
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3313 W 24TH AVE
-----------------------------------------------------
City | KENNEWICK
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99337-2413
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-438-9256
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF EXECUTIVE OFFICER
-----------------------------------------------------
Name | TANA BENTLEY
-----------------------------------------------------
Credential | LICSW, LCSW
-----------------------------------------------------
Telephone | 509-438-9256
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------