| Doctor Name: | MRS. CHARITY BENNETT |
| NPI Number: | 1437493822 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. LPC |
| License Number: | 67357 |
| Business Practice Address: | 400 S. Main St. Borger, TX - 79007 |
| Business Phone Number: | 8062062385 |
| Business Fax Number: | 8062738289 |
| Mailing Address: | Po Box 3216, BORGER |
| State: | TX |
| Postal Code: | 790083216 |
| Phone Number: | 8062062385 |
| Fax Number: | 8062746512 |
| NPI Enumeration Date: | 11/26/2012 |
| NPI Last Update Date: | 08/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 67357 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |