Holly Benningfield, M.A., LPCA

Individual provider Active NPI Mental Health Counselor · Hartford, KY

NPI 1073066486 · NPPES record last updated Aug 2, 2016

Key facts

NPI
1073066486
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
164713 (KY)
Practice address
112 E McMurtry Ave
Ste. 107
Hartford, KY 42347-1634
Phone
(270) 298-3461
NPI assigned
Aug 2, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
164713KYMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 164713 KY Yes

Addresses

Primary practice location

112 E McMurtry Ave
Ste. 107
Hartford, KY 42347-1634

Mailing address

112 E McMurtry Ave
Ste. 107
Hartford, KY 42347-1634
Phone (270) 298-3461

Other providers in Hartford, KY

All providers in Hartford, KY · Mental Health Counselor in Kentucky

Sources for this page

Verify at the official NPI Registry.