MS. SONYA ANNE BENNETT


Address: 605 E Berry St Ste 109, Fort Worth, TX 76110-4300
Phone: 8179275441

MS. SONYA ANNE BENNETT (NPI# 1447552575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447552575
Entity Type Individual
Full Name MS. SONYA ANNE BENNETT
Credential LCDC
Practice Address 605 E Berry St Ste 109
Fort Worth
TX 76110-4300
Practice Telephone 8179275441
Practice Fax Number 8179275442
Mailing Telephone 8179275441
Mailing Fax Number 8179275442
Enumeration Date 2010-11-22
Last Update Date 2010-11-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
11028 TX Behavioral Health & Social Service Providers

Office Location

Street Address 605 E BERRY ST STE 109
City FORT WORTH
State TX
Zip Code 76110-4300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730481862 Karen Gayle Jackson Counselor 605 E Berry St Ste 109, Fort Worth, TX 76110-4300 2010-11-22
1164724290 Heather Elizabeth Cosby Counselor 605 E Berry St Ste 109, Fort Worth, TX 76110-4300 2010-11-22
1275835308 Billy Joe Duncan Counselor 605 E Berry St Ste 109, Fort Worth, TX 76110-4300 2010-11-22

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1285113746 Deirdre P Browne Counselor 1500 E El Paso, Fort Worth, TX 76102 2018-08-07
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1750899225 Jason King Counselor 9705 Polk Ave, Fort Worth, TX 76177-7379 2018-01-17
1598274771 Donna Mcdonald Stout Counselor 3001a W 5th St, Fort Worth, TX 76107-2206 2017-09-20
1053831016 Emily Rana Hanson Counselor 1801 N Riverside Dr, Fort Worth, TX 76111-2732 2017-06-21
1780125369 Nichole Carter Counselor 4820 Valley Springs Trl, Fort Worth, TX 76244-5904 2017-03-15
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Competitor

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City FORT WORTH
Zip Code 76110

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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