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MS. PENNY MAIN-BENNETT LADC
NPI 1780710442
Counselor - Addiction (Substance Use Disorder) in Ham Lake X, MN

Active since February 26, 2007
16525 HIGHWAY 65 NE, HAM LAKE X, MN 55304(763) 413-8838(763) 413-8878 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Penny Main-bennett Ladc NPPES

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

MS. PENNY MAIN-BENNETT LADC (NPI 1780710442) is an individual addiction (substance use disorder) provider in Ham Lake X, Minnesota, licensed in Minnesota (1010135-1-CDT) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1780710442
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. PENNY MAIN-BENNETTCredential: LADC
Location Address16525 HIGHWAY 65 NEHam Lake X, MN 55304-5300
Mailing Address4003 Sunshine DrAnoka, MN 55303-8606 · (763) 413-8838 · Fax (763) 413-8878
Phone(763) 413-8838
Fax(763) 413-8878
Sole ProprietorYes
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1780710442 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
Licenses✔ Licensed in MN · 1010135-1-CDT✔ Licensed in MN · 300832
16525 HIGHWAY 65 NE, Ham Lake X, MN 55304
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Other Identifiers 3

Other1030158MN · Preferred One
Other6C74GRMN · Bcbs Of Mn
Other5040353MN · Ubh

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 Penny Main-bennett's NPI number?

The NPI number for Penny Main-bennett is 1780710442. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Penny Main-bennett located?

Penny Main-bennett practices at 16525 Highway 65 NE, Ham Lake X, MN 55304. The listed phone number is (763) 413-8838.

What is Penny Main-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 Penny Main-bennett was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.