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BERNICE BENSON-SIMMONS
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1639767999
Individual Registrant: BERNICE BENSON-SIMMONS
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
756 WOODBURY HWY GREENVILLE, GA 30222-1514 US
Tel: 706-672-1118 Fax: 706-672-1918
Tel: 706-672-1118 Fax: 706-672-1918
Contact information for business:
756 WOODBURY HWY GREENVILLE, GA 30222-1514 US
Tel: 706-672-1118 Fax: 706-672-1918
Tel: 706-672-1118 Fax: 706-672-1918
Registration Information:
NPI: 1639767999
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
