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KELLY BENNETT
NPI 1184384489
Counselor - Addiction (Substance Use Disorder) in Phoenix, AZ

Active since December 28, 2021
5306 N 17TH AVE, PHOENIX, AZ 85015(602) 249-6674(480) 422-0052 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Bennett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY BENNETT (NPI 1184384489) is an individual addiction (substance use disorder) provider in Phoenix, Arizona and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1184384489
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY BENNETT
Location Address5306 N 17TH AVEPhoenix, AZ 85015-3035
Mailing Address5306 N 17th AvePhoenix, AZ 85015-3035 · (602) 249-6674 · Fax (480) 422-0052
Phone(602) 249-6674
Fax(480) 422-0052
Sole ProprietorNo
Enumeration DateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
✔ NPI 1184384489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
5306 N 17TH AVE, Phoenix, AZ 85015
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY INSTITUTE FOR HEALTH AND RECOVERY
Community/Behavioral Health
5306 N 17TH AVE
PHOENIX, AZ 85015
Maricopa County (602) 327-8375
DESTINY SOBER LIVING
Counselor (Addiction (Substance Use Disorder))
5306 N 17TH AVE
PHOENIX, AZ 85015
Maricopa County (602) 249-6674
EVA CORONA LISAC
Counselor (Addiction (Substance Use Disorder))
5306 N 17TH AVE
PHOENIX, AZ 85015
Maricopa County (602) 249-6674
DESTINY SOBER LIVING
Substance Abuse Rehabilitation Facility
5306 N 17TH AVE
PHOENIX, AZ 85015
Maricopa County (602) 249-6675

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Bennett's NPI number?

The NPI number for Kelly Bennett is 1184384489. It was assigned to this individual provider in the NPPES registry on December 28, 2021.

Where is Kelly Bennett located?

Kelly Bennett practices at 5306 N 17th Ave, Phoenix, AZ 85015. The listed phone number is (602) 249-6674.

What is Kelly Bennett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelly Bennett was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.