Individual
MS. ANNETTE JACKSON BENNECHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, M.S., M.ED.
Contact information
Practice address
110 N MAIN ST, GREENSBORO, GA 30642-1108
(706) 453-7400
(855) 898-5414
Mailing address
110 NORTH MAIN STREET, DBA: SERVE, LLC, GREENSBORO, GA 30642-3203
(706) 453-7400
(855) 898-5414
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
006255
GA
171M00000X
Case Manager/Care Coordinator
006255
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12404855
CAQH
GA
Enumeration date
06/22/2011
Last updated
10/04/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us