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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: July 19, 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

What is Penny Main-bennett's NPI number?

The NPI number assigned to this healthcare provider is 1780710442, enumerated as an "individual" on February 26, 2007.

Where is the provider located?

The provider is located at 16525 HIGHWAY 65 NE HAM LAKE X, MN 55304 and the phone number is (763) 413-8838.

What is the provider's specialty?

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

What insurance does Penny Main-bennett accept?

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.