Individual provider · Type 1 NPI

Kyle Ethan Bendiksen

Mental Health Counselor · Garland, TX

NPI number 1952285678 Active

Practice location

3256 Southern Dr Ste 461
Garland, TX 75043-1533

Mailing address

4300 Congress Ave Unit Apt 108
Dallas, TX 75219-2523

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1952285678

Kyle Ethan Bendiksen's National Provider Identifier is 1952285678, issued on Aug 5, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Garland, TX. The record was last updated on Aug 5, 2025.