Individual provider · Type 1 NPI
Myia Bennett, LPC
Mental Health Counselor · Dallas, TX
NPI number
1366893489
Active
Practice location
13155 Noel Rd Ste 900
Dallas, TX 75240-6882
Fax (972) 947-5273
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 74888 (TX) |
| Professional Counselor | 101YP2500X | 74888 (TX) |
| Community/Behavioral Health Agency | 251S00000X | 74888 (TX) |
| Mental Health Counselor Primary | 101YM0800X | 74888 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1366893489
Myia Bennett, LPC's National Provider Identifier is 1366893489, issued on Jun 29, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, TX. The record was last updated on Feb 26, 2020.