Provider Demographics
NPI:1093039307
Name:BENTLEY, JANETTE (LMHP)
Entity Type:Individual
Prefix:
First Name:JANETTE
Middle Name:
Last Name:BENTLEY
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 N D ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-5051
Mailing Address - Country:US
Mailing Address - Phone:402-651-0684
Mailing Address - Fax:402-727-0779
Practice Address - Street 1:511 N D ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-5051
Practice Address - Country:US
Practice Address - Phone:402-651-0684
Practice Address - Fax:402-727-0779
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1000101YA0400X
NE814101YM0800X
NE3585101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)