Gary Bentley

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · New Orleans, LA

NPI 1336688787 · NPPES record last updated Feb 17, 2017

Key facts

NPI
1336688787
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
1919 Franklin Ave
New Orleans, LA 70117-7603
Phone
(504) 947-4443
Fax
(504) 947-4443
NPI assigned
Feb 17, 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
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes
Mental Health Counselor 101YM0800X
Pastoral Counselor 101YP1600X

Addresses

Primary practice location

1919 Franklin Ave
New Orleans, LA 70117-7603

Mailing address

1919 Franklin Ave
New Orleans, LA 70117-7603
Phone (504) 947-4443

Other providers in New Orleans, LA

All providers in New Orleans, LA · Addiction (Substance Use Disorder) Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.