Benvenuto, Julie

Benvenuto, Julie is an individual health care provider with primary practice located at 2305 Mustang Dr Ste 200 , Grapevine TX 76051-4697. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Benvenuto, Julie can be contacted via phone (817) 668-6170.

Contact Information

Primary practice address
2305 Mustang Dr Ste 200 Grapevine TX 76051-4697
Phone: (817) 668-6170
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 79847 Texas
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 79847 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 79847 Texas

Profile Details

NPI number 1720622178
LBN Legal business name Benvenuto, Julie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2019
Last updated Oct 29th, 2019 - 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 1720622178 NPPES
Texas Other 79847 STATE OF TEXAS

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