Jacqueline Bentley, PHD, LMFT
Individual provider Active NPI Marriage & Family Therapist · Coppell, TX
NPI 1992153175 · NPPES record last updated May 29, 2016
Key facts
- NPI
- 1992153175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 201983 (TX)
- Practice address
- 902 Mallard Dr
Coppell, TX 75019-5925 - Phone
- (214) 763-8191
- NPI assigned
- May 29, 2016
- 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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201983 | TX | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 201983 | TX | Yes |
Addresses
Primary practice location
902 Mallard Dr
Coppell, TX 75019-5925
Mailing address
902 Mallard Dr
Coppell, TX 75019-5925
Phone (214) 763-8191
Other providers in Coppell, TX
- Belfrom Psychological Services, PLLC
- Nina Belfrom
- Annette Sue Bell
- Belonging Family Counseling Services LLC
- Deeann Migyanka Bennett
- Chrystin Nicole Benton
- Arminda Mayonte Bestoyong
- Shiv Bhakta
- Amisha Bhardwaj
- Jyoti Bharti
All providers in Coppell, TX · Marriage & Family Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2016. 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.