Benlyd Colon, LCSWA
Social Worker, Clinical in Fayetteville, NC. Individual provider (NPI-1).
NPI number1053959619
StatusActive
Last updated in NPPESOct 7, 2022
Details
- NPI
- 1053959619
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Benlyd Colon
- Credential
- LCSWA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2019
- Certification date
- Oct 7, 2022
- Last updated
- Oct 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | P014255 | NC | Yes |
Practice location
2940 Breezewood Ave Ste 101-201Fayetteville, NC 28303-5520
Phone 910-827-6594 · Fax 910-827-6592
Mailing address
3727 Queen Anne Loop Apt 102Fayetteville, NC 28306-7899
Phone 910-578-7816
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