Provider Demographics
NPI:1447847751
Name:BENTLEY COUNSELING & CONSULTING, PLLC
Entity type:Organization
Organization Name:BENTLEY COUNSELING & CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:PAIGE
Authorized Official - Last Name:BENTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCMHCS, BCC
Authorized Official - Phone:336-287-7131
Mailing Address - Street 1:502 WACHOVIA ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-5043
Mailing Address - Country:US
Mailing Address - Phone:336-287-7131
Mailing Address - Fax:
Practice Address - Street 1:502 WACHOVIA ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-5043
Practice Address - Country:US
Practice Address - Phone:336-287-7131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health