MEDICARE: BENNETT BIBLICAL COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1356041941
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENNETT BIBLICAL COUNSELING, LLC

Provider Business Mailing Address
First Line	:	125 EAGLES NEST DR STE D4
Second Line	:
City	:	SENECA
State	:	SC
Zip	:	29678-2760
Country	:	US
Telephone Number	:	918-219-3123
Fax Number	:	918-615-8026

Provider Business Practice Location Address
First Line	:	125 EAGLES NEST DR STE D4
Second Line	:
City	:	SENECA
State	:	SC
Zip	:	29678-2760
Country	:	US
Telephone Number	:	918-219-3123
Fax Number	:	918-615-8026

Authorized Official
Title or Position	:	CEO
Name	:	BEVERLY P BENNETT
Credential	:	MA, LPCS, NCC
Telephone Number	:	918-219-3123

Provider Enumeration Date	:	03/03/2023
Last Update Date	:	01/20/2026

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