Maurine Wilcox Bennett, MFS
Individual provider Active NPI Marriage & Family Therapist · Dublin, GA
NPI 1578856092 · NPPES record last updated May 17, 2011
Key facts
- NPI
- 1578856092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFT000889 (GA)
- Practice address
- 715 James Currie Rd
Dublin, GA 31021-1489 - Phone
- (478) 274-0037
- Fax
- (478) 274-0809
- NPI assigned
- May 17, 2011
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT000889 | GA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT000889 | GA | Yes |
Addresses
Primary practice location
715 James Currie Rd
Dublin, GA 31021-1489
Mailing address
715 James Currie Rd
Dublin, GA 31021-1489
Phone (478) 274-0037
Other providers in Dublin, GA
- Behavioral Health of Middle Georgia, LLC
- Alex Antonio Bell
- Vaughn Thomas Bell Jr.
- Cynthia A. Bellflower
- Janice Leigh Anne Bennett
- Paulette Bennett
- Robert Martin Bennett
- Tristen Julian Hinson Bennett
- Jimmy Benson Jr.
- Tammy Melissa Benz-Yanken
All providers in Dublin, GA · Marriage & Family Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2011. 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.