MS. REBECCA A. BENNETT


Address: 1675 Phoenix Road, Suite 9, South Haven, MI 49090
Phone: 2696392545

MS. REBECCA A. BENNETT (NPI# 1730514910) 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) 1730514910
Entity Type Individual
Full Name MS. REBECCA A. BENNETT
Credential LLPC
Practice Address 1675 Phoenix Road
Suite 9
South Haven
MI 49090
Mailing Address 72300 Erika Way
#207
South Haven
MI 49090-7120
Practice Telephone 2696392545
Practice Fax Number 2696392137
Mailing Telephone 6168869217
Mailing Fax Number 2696392137
Enumeration Date 2013-09-06
Last Update Date 2013-09-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
6401010526 MI Behavioral Health & Social Service Providers

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1144777491 Rebecca Zoe Bennett Student in an Organized Health Care Education/Training Program 100 W California Blvd, Pasadena, CA 91105-3010 2016-09-03
1851772495 Rebecca A Bennett Specialist/Technologist, Other 31330 Schoolcraft Rd, Ste 200, Livonia, MI 48150-2041 2015-06-09
1518366608 Rebecca Bennett Counselor 101 Gough St, San Francisco, CA 94102-5903 2014-08-14
1013356054 Rebecca Bennett Dietitian, Registered 12140 Nall Ave, Suite 100, Overland Park, KS 66209-2503 2013-06-24
1790007219 Rebecca Lynn Bennett Licensed Practical Nurse Usa Meddac Bavaria, Cmr 411 Bldg 700,rose Barracks, Apo, AE 09112 2010-02-25
1730386780 Rebecca Bennett Social Worker 2707 Browns Ln, Jonesboro, AR 72401-7213 2007-07-02

Office Location

Street Address 1675 PHOENIX ROAD
SUITE 9
City SOUTH HAVEN
State MI
Zip Code 49090

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295234490 Katara Therapy, LLC Social Worker 13560 76th Street, Suite 3, South Haven, MI 49090 2018-02-03
1487022091 Kevin E. Ferrell Physician Assistant 955 S. Bailey Avenue, South Haven, MI 49090 2015-09-14
1942638002 Birdie Farley Chore Provider 26725 M-140 Hwy, South Haven, MI 49090 2013-10-28
1902149818 Bronson South Haven Hospital Emergency Medicine 970 S Bailey Ave, South Haven, MI 49090 2013-03-28
1265629927 Cecilia Liz Vives Vasquez Physical Therapist 23701 Red Arrow Hwy, Mattawan, MI 49090 2007-09-26
1518089788 Donald Jam,es Buckley Pharmacist 955 S Bailey, South Haven, MI 49090 2007-04-06
1366568966 Norman M Maly Dentist 05055 Blue Star Hwy, South Haven, MI 49090 2007-03-22
1639264062 Deborah Sue Distefano Pharmacy Technician 512 Phoenix Street, South Haven, MI 49090 2006-10-03
1053357897 Stephen Earl Tolen Chiropractor 325 Superior St., South Haven, MI 49090 2006-06-21
1790261832 Bronson South Haven Hospital Emergency Medicine 970 S Bailey Ave, South Haven, MI 49090 2018-07-12
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174963748 Brenda J Arnold Counselor 6331 Hidden Ln, South Haven, MN 55382-4555 2013-06-27
1801134747 Amy Haas Counselor 33 Promenade Pl, South Haven, MI 49090-1172 2013-01-28
1417189929 Kelly Pinney Ellis Counselor 404 Broadway St, Suite B, South Haven, MI 49090-1421 2009-08-17
1871791400 Anne Marie Jaeger-heiden Counselor 225 Broadway St, Suite 7 - T, South Haven, MI 49090-2408 2007-07-05
1306020037 Elizabeth Ann Decker-miller Counselor 225 Broadway St, Suite 7, South Haven, MI 49090-2408 2007-12-17
1215111950 Bridgeway Wellness Counseling Counselor 225 Broadway St, Suite 7, South Haven, MI 49090-2408 2007-12-17

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1477152445 True North Holistic Health and Wellness, LLC Counselor 5472 Belsay Rd, Grand Blanc, MI 48439-9129 2020-10-21
1881293819 Breakthrough L.L.C. Counselor 38847 Parkview Dr, Clinton Twp, MI 48036-3826 2020-10-21
1790384998 Amanda Nicole Lambert Counselor 1919 Gratiot Ave, Saginaw, MI 48602-2763 2020-10-20
1285233437 Emmitt Melvin Davis Jr. Counselor 316 Morris Ave Ste 200, Muskegon, MI 49440-1154 2020-10-20
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Competitor

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City SOUTH HAVEN
Zip Code 49090

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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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