Steven Bennett

Individual provider Active NPI Professional Counselor · Greenwich, CT

NPI 1174048748 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1174048748
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
003122
Practice address
75 Holly Hill LN
Greenwich, CT 06830-6098
Phone
(203) 489-0888
NPI assigned
Aug 4, 2017
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 003122 Yes

Addresses

Primary practice location

75 Holly Hill LN
Greenwich, CT 06830-6098

Mailing address

199 Larchmont Ave
Larchmont, NY 10538-2816
Phone (608) 228-8247

Other practice location 1

30 Washington Ave
Greenwich, CT 06830-5748
Phone (608) 228-8247

Other providers in Greenwich, CT

All providers in Greenwich, CT · Professional Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.