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Organization
MARILYN BENNETT, LMHC
Active
Organization
MARILYN BENNETT, LMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN BENNETT (OWNER)
(321) 631-5538
Entity
Organization
Contact information
Practice address
4185 US HIGHWAY 1, SUITE 102, ROCKLEDGE, FL 32955-5384
(321) 631-5538
(321) 631-5154
Mailing address
PO BOX 560875, ROCKLEDGE, FL 32956-0875
(321) 631-5538
(321) 631-5154
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH7681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295552736
NATIONAL PROVIDER IDENTIFIER - INDIVIDUAL
—
01
—
MD7681
FLORIDA DEPARTMENT OF HEALTH - LICENSE
—
Enumeration date
01/18/2017
Last updated
01/18/2017
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