Bennett, Christan Latonya

Bennett, Christan Latonya is an individual health care provider with primary practice located at 1589 Mountain Lake Dr E , Jacksonville FL 32221-5548. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bennett, Christan Latonya can be contacted via phone (904) 337-9073.

Contact Information

Primary practice address
1589 Mountain Lake Dr E Jacksonville FL 32221-5548
Phone: (904) 337-9073
Fax: (904) 337-4448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 160994624 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW13712 Florida

Profile Details

NPI number 1114266731
LBN Legal business name Bennett, Christan Latonya
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2013
Last updated Nov 24th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114266731 NPPES
Florida MEDICAID 029573621

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