NPI

Angelica M Bennett

NPI 1578234340

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
LPC, LCPC
Type
Individual
Enumeration date
2021-09-22
Last updated
2026-04-20

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
9610 N Metro Pkwy W
City
Phoenix AZ
Postal code
85051-1402
Phone
(480) 964-2273

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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