Bennett, Johnathan Lucas

Bennett, Johnathan Lucas is an individual health care provider with primary practice located at 1675 Story Ave , Louisville KY 40206-1739. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Nurse's Aide, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Bennett, Johnathan Lucas can be contacted via phone (502) 749-6344.

Contact Information

Primary practice address
1675 Story Ave Louisville KY 40206-1739
Phone: (502) 749-6344
Fax: (502) 749-6344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 4035841 Kentucky
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 301969 Kentucky

Profile Details

NPI number 1710845151
LBN Legal business name Bennett, Johnathan Lucas
Credentials CADCA I
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2026
Last updated Jan 14th, 2026 - about 9 months 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 1710845151 NPPES
Kentucky Other 4035841 SRNA
Kentucky Other 301969 SRNA

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