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General NPI Number Information
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NPI Number | 1851786479
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Entity Type | Organization
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Legal Business Name | BENNETT COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 03/31/2015
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Provider Practice Location Address
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Address Line | 3015 E SKELLY DR SUITE 211-1
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City | TULSA
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State | OK
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Zip | 74105-6317
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Country | US
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Telephone | 918-219-3123
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 582123
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City | TULSA
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State | OK
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Zip | 74158-2123
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Country | US
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Telephone | 918-219-3123
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MRS. BEVERLY P. BENNETT
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Credential | LPC, NCC
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Telephone | 918-219-3123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 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 #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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