Provider Demographics
NPI:1821705831
Name:BENTLEY, JOSEPH (MA CANDIDATE)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:BENTLEY
Suffix:
Gender:M
Credentials:MA CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 RACE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-2807
Mailing Address - Country:US
Mailing Address - Phone:501-454-2213
Mailing Address - Fax:
Practice Address - Street 1:8120 SHERIDAN BLVD STE 300C
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-6155
Practice Address - Country:US
Practice Address - Phone:720-425-5510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health