Bencivenga, Carol

Bencivenga, Carol is an sole proprietor health care provider with primary practice located at 1022 Brielle Ave , Oviedo FL 32765-5400. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bencivenga, Carol can be contacted via phone (407) 461-6179.

Contact Information

Primary practice address
1022 Brielle Ave Oviedo FL 32765-5400
Phone: (407) 461-6179
Fax: (407) 366-8108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH13487 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ADC-010338-2015 Florida

Profile Details

NPI number 1790220069
LBN Legal business name Bencivenga, Carol
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2016
Last updated Dec 22nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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