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Organization

CAROLINE BENTLEY FAMILY THERAPIST, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLINE BENTLEY LMFT (OWNER/PROGRAM DIRECTOR)
(747) 777-0623
Entity
Organization

Contact information

Practice address
2368 MARITIME DR STE 200, ELK GROVE, CA 95758-3654
(916) 896-1061
(916) 897-9821
Mailing address
2368 MARITIME DR STE 200, ELK GROVE, CA 95758-3654
(916) 897-9821

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
340122AP
STATE PROGRAM CERTIFICATION
CA
Enumeration date
10/14/2021
Last updated
12/17/2025
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