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NPI Code Detail

MEDICARE: LINDA PIKE BENNETT LPCC

MEDICARE: LINDA PIKE BENNETT LPCC
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
1101YM0800XMental Health Counselor0214851NM

General Provider Information

NPI Number : 1851842470
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA PIKE BENNETT LPCC
Provider Business Mailing Address
First Line : 195 EAST RD STE 104
Second Line :
City : LOS ALAMOS
State : NM
Zip : 87544-4301
Country : US
Telephone Number : 505-412-7756
Fax Number :
Provider Business Practice Location Address
First Line : 195 EAST RD STE 104
Second Line :
City : LOS ALAMOS
State : NM
Zip : 87544-4301
Country : US
Telephone Number : 505-412-7756
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2016
Last Update Date : 01/14/2026

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Directions to “ LINDA PIKE BENNETT LPCC” Practice Location

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