Marilyn Bennett, LMHC
Individual provider Active NPI Professional Counselor · Cocoa, FL
NPI 1295882736 · NPPES record last updated Sep 18, 2018
Key facts
- NPI
- 1295882736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- MH 7681 (FL)
- Practice address
- 1 Oleander St Ste 3
Cocoa, FL 32922-7900 - Phone
- (321) 631-5538
- Fax
- (321) 631-5154
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 7681 | FL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | FL | ||
| Professional Counselor | 101YP2500X | MH 7681 | FL | Yes |
Addresses
Primary practice location
1 Oleander St Ste 3
Cocoa, FL 32922-7900
Mailing address
2593 S Park Ave
Titusville, FL 32780-5147
Phone (321) 631-5538
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0764698 00 | Medicaid | FL |
Other providers in Cocoa, FL
- Bell Eve Treatment Center, Inc
- Bell Eve, Inc.
- Amber Elizabeth Bell
- Patricia Bell
- Charlotte Marie Bellew
- Renata Pressley Bennett
- Natalia Winter Bertagna
- Zackary Philip Besner
- Kendra Best
- Andrew Jacob Bethke
All providers in Cocoa, FL · Professional Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.