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General NPI Number Information
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NPI Number | 1902760648
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Entity Type | Organization
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Legal Business Name | BEN BENTLEY COUNSELING PLLC
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 2714 HENNING DR STE 4
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City | WINSTON SALEM
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State | NC
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Zip | 27106-4502
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Country | US
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Telephone | 336-905-9532
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Fax |
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Provider Business Mailing Address
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Address Line | 5335 ROBINHOOD VILLAGE DR STE 131
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City | WINSTON SALEM
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State | NC
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Zip | 27106-9820
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Country | US
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Telephone | 336-905-9532
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. BENJAMIN KERMIT BENTLEY
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Credential | LCMHCS,LCAS,CCS
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Telephone | 336-905-9532
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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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