Most Relevant Information
Provider Data
| NPI Number: | 1003636002 |
| Provider Name: | BROOKE BENTLEY MA, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | LPC05400 |
Most Important Dates
| Enumeration Date: | 10/14/2024 |
| Last Updated: | 10/14/2024 |
Provider Practice Location
360 SARALAND BLVD N
SARALAND
AL
365712110
Practice Location Phone/Fax
| Phone: | 2514592658 |
| Fax: |
Provider Mailing Location
360 SARALAND BLVD N
SARALAND
AL
365712110
Provider Mailing Phone/Fax
| Phone: | 2514592658 |
| Fax: |