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Organization
BENTLEY FAMILY THERAPY, PLLC
Active
Organization
BENTLEY FAMILY THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE B BENTLEY PHD (CEO)
(972) 552-5559
Entity
Organization
Contact information
Practice address
713 W BROAD ST, 200, FORNEY, TX 75126-9147
(972) 552-5559
(972) 552-5499
Mailing address
PO BOX 2311, FORNEY, TX 75126-2311
(972) 552-5559
(972) 552-5499
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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