Bentley, Lisa Renaye

Bentley, Lisa Renaye is an sole proprietor health care provider with primary practice located at 209 Barium Springs Drive , Statesville NC 28677-6238. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bentley, Lisa Renaye can be contacted via phone (707) 873-1011.

Contact Information

Primary practice address
209 Barium Springs Drive Statesville NC 28677-6238
Phone: (707) 873-1011
Fax: (704) 832-2253
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4233 North Carolina

Profile Details

NPI number 1629314216
LBN Legal business name Bentley, Lisa Renaye
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2012
Last updated Jan 2nd, 2013 - about 12 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 1629314216 NPPES
North Carolina Other 4233 LPC

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