Gerald Bentley, LPC
Counselor, Professional in Saint Louis, MO. Individual provider (NPI-1).
NPI number1124565833
StatusActive
Last updated in NPPESAug 26, 2025
Details
- NPI
- 1124565833
- Entity type
- Individual (NPI-1)
- Name
- Gerald Bentley
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 20, 2017
- Certification date
- Aug 26, 2025
- Last updated
- Aug 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2013002018 | MO | Yes |
| 101YS0200X | Counselor, School | 0441047 | MO |
Practice location
5910 Clifton AveSaint Louis, MO 63109-3407
Phone 314-352-1043
Mailing address
7454 Grant Village DrApt. A
Saint Louis, MO 63123-1434
Phone 314-458-5798
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