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NPI Code Detail

MEDICARE: RODNEY BENTLEY

MEDICARE: RODNEY BENTLEY
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
1101YA0400XAddiction (Substance Use Disorder) Counselor118367KY

General Provider Information

NPI Number : 1417248204
Entity Type Code : Individual
Provider Name (Legal Business Name) : RODNEY BENTLEY
Provider Business Mailing Address
First Line : 4600 MONTGOMERY RD STE 400
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2600
Country : US
Telephone Number : 833-510-4357
Fax Number : 866-460-2997
Provider Business Practice Location Address
First Line : 621 HAPPY VALLEY RD
Second Line :
City : GLASGOW
State : KY
Zip : 42141-1541
Country : US
Telephone Number : 833-510-4357
Fax Number : 866-460-2997
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2011
Last Update Date : 12/17/2025

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Directions to “ RODNEY BENTLEY ” Practice Location

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