MS. ANNETTE JACKSON BENNECHE LPC, M.S., M.ED.
NPI 1831485523
Counselor - Professional in Greensboro, GA
Active since June 22, 2011
About Ms. Annette Jackson Benneche Lpc, M.s., M.ed. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ANNETTE JACKSON BENNECHE LPC, M.S., M.ED. (NPI 1831485523) is an individual professional provider in Greensboro, Georgia, licensed in Georgia (006255) and active in the NPI registry since June 2011.
NPPES Registry Identity
NPI1831485523
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. ANNETTE JACKSON BENNECHECredential: LPC, M.S., M.ED.
Location Address110 N MAIN STGreensboro, GA 30642-1108
Mailing Address110 North Main Street, Dba: Serve, LlcGreensboro, GA 30642-3203 · (706) 453-7400 · Fax (855) 898-5414
Phone(706) 453-7400
Fax(855) 898-5414
Sole ProprietorYes
Enumeration DateJune 22, 2011
Last NPPES UpdateOctober 4, 2016
✔ NPI 1831485523 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · 006255
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 006255 (GA)
110 N MAIN ST, Greensboro, GA 30642
Other Identifiers 1
Other12404855GA · Caqh
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, UnitedHealthcare.Insurance ›
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831485523, enumerated as an "individual" on June 22, 2011.
The provider is located at 110 N MAIN ST GREENSBORO, GA 30642 and the phone number is (706) 453-7400.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Providence Health Plan, UnitedHealthcare, Medicare. Please consult your insurance carrier or call the provider to verify.