Bentley, Nancy

Bentley, Nancy is an individual health care provider with primary practice located at 265 E Chubbuck Road , Chubbuck ID 83202-5055. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bentley, Nancy can be contacted via phone (208) 237-1711.

Contact Information

Primary practice address
265 E Chubbuck Road Chubbuck ID 83202-5055
Phone: (208) 237-1711
Fax: (208) 237-9806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LCPC- 4707 Idaho
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC 4707 Idaho

Profile Details

NPI number 1013131366
LBN Legal business name Bentley, Nancy
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Feb 16th, 2023 - about last year

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 1013131366 NPPES
Idaho MEDICAID 807197600

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