Doctor Name: | MR. BILLIE BYRON BENTON |
NPI Number: | 1194882522 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 44SC00186300 |
Business Practice Address: | 707 White Horse Pike Suite A3 Absecon, NJ - 08201 |
Business Phone Number: | 6093833330 |
Business Fax Number: | 6093833301 |
Mailing Address: | Po Box 93, MAYSLANDING |
State: | NJ |
Postal Code: | 083300093 |
Phone Number: | 6096252062 |
Fax Number: | 6096252970 |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC00186300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |