Individual provider · Type 1 NPI

Basil Bennett

Peer Specialist · Logan, WV

NPI number 1821724543 Active

Practice location

174 Lmah Center Rd
Logan, WV 25601-4058

Call (304) 792-7130 Map

Fax (304) 896-5184

Mailing address

PO Box 176
Logan, WV 25601-0176

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X0072 (WV)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1821724543

Basil Bennett's National Provider Identifier is 1821724543, issued on Jul 26, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Logan, WV. The record was last updated on Jul 26, 2022.