Organization
TESS BENNETT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESEA L BENNETT LSCSW (OWNER)
(620) 603-6002
Entity
Organization
Contact information
Practice address
1819 11TH ST, GREAT BEND, KS 67530-4511
(620) 603-6002
(620) 603-6529
Mailing address
1819 11TH ST, GREAT BEND, KS 67530-4511
(620) 603-6002
(620) 603-6529
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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