Serve, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

006255 Issued in GA

Legal business name

SERVE, LLC

Doing business as

DBA: Annette J Benneche

Practice address

110 N Commerce St
Hinesville, GA 31313-2720

Phone

(912) 332-7503

Fax

(855) 898-5414

NPI assigned

Oct 3, 2016

Last updated

Oct 3, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Annette Benneche, LPCNPI 1831485523

Title

Founder/Ceo

Phone

(912) 332-7503

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• DBA: Annette J Benneche Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Annette Jackson Benneche, LPC, M.S., M.ED.

  • Professional Counselor
  • Greensboro, GA
  • NPI 1831485523
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1235688250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N MAIN ST",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306421108",
            "telephone_number": "706-453-7400",
            "fax_number": "855-898-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N COMMERCE ST",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132720",
            "telephone_number": "912-332-7503",
            "fax_number": "855-898-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "BENNECHE",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "912-332-7503",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "006255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003129023B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RISK REDUCTION PROGRAM",
            "identifier": "10241",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003129023A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA COMMISSION ON FAMILY VIOLENCE",
            "identifier": "6546980314546176",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA: Annette J Benneche",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.