Individual
AMELIA BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6132 HAWKINSVILLE RD, MACON, GA 31216-5848
(478) 788-0066
Mailing address
1205 JIMBO RD, ODUM, GA 31555-7968
(470) 783-9730
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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