Lisa Renaye Bentley, LPC
Counselor, Mental Health in Statesville, NC. Individual provider (NPI-1).
NPI number1629314216
StatusActive
Last updated in NPPESJan 2, 2013
Details
- NPI
- 1629314216
- Entity type
- Individual (NPI-1)
- Name
- Lisa Renaye Bentley
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 31, 2012
- Last updated
- Jan 2, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 4233 | NC | Yes |
Practice location
209 Barium Springs DriveStatesville, NC 28677-6238
Phone 707-873-1011 · Fax 704-832-2253
Mailing address
Po Box 1Barium Springs, NC 28010-0001
Phone 707-873-1011 · Fax 704-832-2253
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All 64 Mental Health Counselor providers in Statesville · All 1,812 providers in Statesville
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