Bennett, Brenda S

Bennett, Brenda S is an sole proprietor health care provider with primary practice located at 2011 S 25Th St Ste 108 , Fort Pierce FL 34947-4795. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Bennett, Brenda S can be contacted via phone (772) 242-1079.

Contact Information

Primary practice address
2011 S 25Th St Ste 108 Fort Pierce FL 34947-4795
Phone: (772) 242-1079
Fax: (772) 242-1296
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1235734765
LBN Legal business name Bennett, Brenda S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2020
Last updated Dec 2nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235734765 NPPES
Other 103T00000X 103T00000X

Popular Providers