Bennett, Jill Marie

Bennett, Jill Marie is an sole proprietor health care provider with primary practice located at 511 W 1St St , Mount Pleasant TX 75455-4336. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Bennett, Jill Marie can be contacted via phone (903) 575-1330.

Contact Information

Primary practice address
511 W 1St St Mount Pleasant TX 75455-4336
Phone: (903) 575-1330
Fax: (903) 577-9156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 20261 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 201003 Texas

Profile Details

NPI number 1518195031
LBN Legal business name Bennett, Jill Marie
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2009
Last updated Jun 23rd, 2009 - about 15 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 1518195031 NPPES
Texas MEDICAID 1796567-01

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