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Contact Information

NICOLE N BENTON, LPC
1194 147TH ST STE 5
MONTICELLO, GA31064-8068
 Phone: 678-561-3091
 Fax: 404-795-8974
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for NICOLE N BENTON · (Female)

NPI # 1083068647
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 04/20/2016
Last updated 01/26/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 007682
  • GA License # 008941
  • GA Medicaid 003181947J
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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