Bennett, Jeffrey E

Bennett, Jeffrey E is an individual health care provider with primary practice located at 4722 Taft Blvd Ste 2 , Wichita Falls TX 76308-4800. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Bennett, Jeffrey E can be contacted via phone (940) 691-1899.

Contact Information

Primary practice address
4722 Taft Blvd Ste 2 Wichita Falls TX 76308-4800
Phone: (940) 691-1899
Fax: (940) 691-3423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 3347 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 3347 Texas

Profile Details

NPI number 1902941073
LBN Legal business name Bennett, Jeffrey E
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Nov 6th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902941073 NPPES
Texas MEDICAID 028976103
Texas Other 8071BH

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