KENYA BETHEA LCMHCA
NPI 1669182416
Counselor - Mental Health in Bolivia, NC
Active since December 02, 2022
3490 OLD OCEAN HWY UNIT 2, BOLIVIA, NC 28422(910) 253-5885(910) 253-5887 Get Directions Write a Review
About Kenya Bethea Lcmhca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENYA BETHEA LCMHCA (NPI 1669182416) is an individual mental health provider in Bolivia, North Carolina, licensed in North Carolina (A17254) and active in the NPI registry since December 2022.
NPPES Registry Identity
NPI1669182416
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKENYA BETHEACredential: LCMHCA
Location Address3490 OLD OCEAN HWY UNIT 2Bolivia, NC 28422-9032
Mailing Address3490 Old Ocean Hwy Unit 2Bolivia, NC 28422-9032 · (910) 253-5885 · Fax (910) 253-5887
Phone(910) 253-5885
Fax(910) 253-5887
Sole ProprietorYes
Enumeration DateDecember 2, 2022
NPPES CertifiedDecember 2, 2022
✔ NPI 1669182416 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · A17254
3490 OLD OCEAN HWY UNIT 2, Bolivia, NC 28422
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Professional)
3490 OLD OCEAN HWY UNIT 2
BOLIVIA, NC 28422
BOLIVIA, NC 28422
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669182416, enumerated as an "individual" on December 02, 2022.
The provider is located at 3490 OLD OCEAN HWY UNIT 2 BOLIVIA, NC 28422 and the phone number is (910) 253-5885.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.