| Doctor Name: | MRS. ANITA BENTLEY FAULKNER |
| NPI Number: | 1013152909 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 7208 |
| Business Practice Address: | 1301 Carolina St Ste. 114 Greensboro, NC - 274011032 |
| Business Phone Number: | 3362721200 |
| Business Fax Number: | 3362721182 |
| Mailing Address: | 1823 W Friendly Ave, GREENSBORO |
| State: | NC |
| Postal Code: | 274031240 |
| Phone Number: | 3364918292 |
| Fax Number: | |
| NPI Enumeration Date: | 12/08/2008 |
| NPI Last Update Date: | 12/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 7208 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |