# MAEB PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760279228
- **Authorized official:** MRS. CAEDORA MARYLOUISE BENTON NP (OWNER/CEO)
- **Authorized official phone:** (678) 499-7794

## Contact information

- **Practice address:** 154 HUFFMAN MILL RD STE 203, BURLINGTON, NC 27215-5113
- **Practice address phone:** (336) 298-8088
- **Practice address fax:** (464) 777-8135
- **Mailing address:** PO BOX 3, MC LEANSVILLE, NC 27301-0003
- **Mailing address phone:** (336) 298-8088
- **Mailing address fax:** (464) 777-8135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2025
- **Last updated:** 09/23/2025