Bennett, Jonathan Antonio
Bennett, Jonathan Antonio is an sole proprietor health care provider with primary practice located at 601 19Th Ave N # 202B , Myrtle Beach SC 29577-3249. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Bennett, Jonathan Antonio can be contacted via phone (843) 504-6912.Contact Information
Primary practice address
601 19Th Ave N # 202B
Myrtle Beach SC 29577-3249
Phone: (843) 504-6912
Fax: (843) 326-4848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6918 | South Carolina |
Profile Details
| NPI number | 1821572140 |
|---|---|
| LBN Legal business name | Bennett, Jonathan Antonio |
| Credentials | MA, LPC-A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2018 |
| Last updated | May 7th, 2026 - about 6 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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