Provider Demographics
NPI:1821771379
Name:BENNEWITH-DAVIS, LUCINDA (LMFTA)
Entity Type:Individual
Prefix:
First Name:LUCINDA
Middle Name:
Last Name:BENNEWITH-DAVIS
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:LUCINDA
Other - Middle Name:
Other - Last Name:BENNEWITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12835 NE 108TH PL
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-4759
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12835 NE 108TH PL
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-4759
Practice Address - Country:US
Practice Address - Phone:310-422-5781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist