Most Relevant Information
Provider Data
| NPI Number: | 1003356700 |
| Provider Name: | SHANA BENTLEY M.A., LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | E.1901202 |
Most Important Dates
| Enumeration Date: | 02/28/2017 |
| Last Updated: | 06/20/2019 |
Provider Practice Location
424 W WOODRUFF AVE
TOLEDO
OH
436045027
Practice Location Phone/Fax
| Phone: | 4198417701 |
| Fax: |
Provider Mailing Location
424 W WOODRUFF AVE
TOLEDO
OH
436045027
Provider Mailing Phone/Fax
| Phone: | 4198417701 |
| Fax: |