Bennett, Tonya Renee

Bennett, Tonya Renee is an individual health care provider with primary practice located at 608 Happy Valley Rd , Glasgow KY 42141-1561. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bennett, Tonya Renee can be contacted via phone (270) 901-5000.

Contact Information

Primary practice address
608 Happy Valley Rd Glasgow KY 42141-1561
Phone: (270) 901-5000
Fax: (270) 842-5268
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 102944 Kentucky

Profile Details

NPI number 1124180666
LBN Legal business name Bennett, Tonya Renee
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Dec 11th, 2017 - about 7 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 1124180666 NPPES
Kentucky MEDICAID 7100288280

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