Individual
MRS. BENITA WHITAKER CLEVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED
Contact information
Practice address
1009 COLVIN ST, FORT WORTH, TX 76104-6813
(817) 228-7540
Mailing address
1009 COLVIN ST, FORT WORTH, TX 76104-6813
(817) 228-7540
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
TX
175T00000X
Peer Specialist
Primary
51324-0125
TX
Other
Enumeration date
09/11/2024
Last updated
06/16/2025
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