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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235734765 | NPPES |
| Other | 103T00000X | 103T00000X |
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