| Doctor Name: | DR. BENETTA WOODS ERNESTINE |
| NPI Number: | 1033536032 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC-S, ED.D |
| License Number: | 20322 |
| Business Practice Address: | 7122 Rocky Ridge Ln Richmond, TX - 774073856 |
| Business Phone Number: | 2816874430 |
| Business Fax Number: | 2816339920 |
| Mailing Address: | 7122 Rocky Ridge Ln, RICHMOND |
| State: | TX |
| Postal Code: | 774073856 |
| Phone Number: | 2816874430 |
| Fax Number: | 2816339920 |
| NPI Enumeration Date: | 03/27/2014 |
| NPI Last Update Date: | 03/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 20322 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |