Bennett, Marilyn

Bennett, Marilyn is an individual health care provider with primary practice located at 1 Oleander St Ste 3 , Cocoa FL 32922-7900. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bennett, Marilyn can be contacted via phone (321) 631-5538.

Contact Information

Primary practice address
1 Oleander St Ste 3 Cocoa FL 32922-7900
Phone: (321) 631-5538
Fax: (321) 631-5154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X MH 7681 Florida

Profile Details

NPI number 1295882736
LBN Legal business name Bennett, Marilyn
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Sep 18th, 2018 - about 8 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 1295882736 NPPES
Florida MEDICAID 0764698 00

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