Individual provider · Type 1 NPI

Ivy Bencivengo, LPC

Mental Health Counselor · Cleveland, OH

NPI number 1396304374 Active

Practice location

10427 Detroit Ave
Cleveland, OH 44102-1645

Call (216) 487-2168 Map

Mailing address

27068 Oakwood Dr Apt 119B
Olmsted Township, OH 44138-1189

Other practice locations

  • 8411 Broadway Ave, Cleveland, OH 44105-3932 · (216) 441-0200

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XC.2002641 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1396304374

Ivy Bencivengo, LPC's National Provider Identifier is 1396304374, issued on Jun 12, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cleveland, OH. The record was last updated on Dec 13, 2021.