MRS. MICHELLE PHILBROOK BENTON (NPI# 1518272152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518272152 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE PHILBROOK BENTON |
| Credential | LPC, LCAS-A |
| Practice Address |
1400 Willow Ln North Wilkesboro NC 28659 |
| Mailing Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1833 |
| Practice Telephone | 3366675151 |
| Practice Fax Number | 3368383133 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2018-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
20476 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
10290 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1518272152 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6733 Six Forks Rd Apt A2, Raleigh, NC 276156556 | 7204317533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790304392 | Michelle Benton | Physical Therapy Assistant | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-04-14 |
| Street Address |
1400 WILLOW LN |
| City | NORTH WILKESBORO |
| State | NC |
| Zip Code | 28659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891756979 | Sharon L. Wilcox | Registered Nurse | 1400 Willow Ln, North Wilkesboro, NC 28659-3551 | 2006-03-29 |
| 1497369011 | Monica Lynette Brown | Social Worker | 1400 Willow Ln, North Wilkesboro, NC 28659-3551 | 2020-09-01 |
| 1396355657 | Hannah Yow | Social Worker | 1400 Willow Ln, North Wilkesboro, NC 28659-3551 | 2020-08-03 |
| 1295374775 | Elizabeth Devere | Counselor | 1400 Willow Ln, North Wilkesboro, NC 28659-3551 | 2019-12-31 |
| 1992367221 | Angela Veronica Hamilton-rucker | Counselor | 1400 Willow Ln, North Wilkesboro, NC 28659-3551 | 2019-07-08 |
| 1043877582 | Cynthia Tillene Huffstetler | Counselor | 1400 Willow Ln, North Wilkesboro, NC 28659-3551 | 2019-05-21 |
| 1306307806 | Autumn Vaca | Marriage & Family Therapist | 1400 Willow Ln, North Wilkesboro, NC 28659-3551 | 2019-03-27 |
| 1093281586 | Amber Marie Moodie-dyer | Social Worker | 1400 Willow Ln, North Wilkesboro, NC 28659-3551 | 2018-10-23 |
| 1295221562 | Patrice Dianne Best | Social Worker | 1400 Willow Ln, North Wilkesboro, NC 28659-3551 | 2018-07-10 |
| 1154839306 | Christian Richard Immel | Counselor | 1400 Willow Ln, North Wilkesboro, NC 28659-3551 | 2018-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579689 | Lisa C Carr | Social Worker | 1400 Willow Ln # C61-2, North Wilkesboro, NC 28659 | 2019-07-03 |
| 1780141507 | Brenda Barber | Counselor | 200 Northview Plaza, North Wilkesboro, NC 28659 | 2019-02-28 |
| 1639696941 | Lifespan Incorporated | Community/Behavioral Health | 2070 River Road, North Wilkesboro, NC 28659 | 2017-08-28 |
| 1184146011 | Daymark Recovery Services Inc | Community/Behavioral Health | 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 | 2017-07-12 |
| 1033568258 | Rgm Al Holdings, LLC | Assisted Living Facility | 240 Independence Ave, North Wilkesboro, NC 28659 | 2016-06-08 |
| 1376997999 | Hayden Church | Driver | 29 Boone Trail, North Wilkesboro, NC 28659 | 2016-04-20 |
| 1033563192 | Nathan Grant Davis | Emergency Medicine | Wake Forest Baptist Health- Wilkes Medical Center, 1370 W D St, North Wilkesboro, NC 28659 | 2016-04-14 |
| 1720425408 | Lindsay Brooke Spears | Dentist | 1915 West Park Drive Ste 104, Wilkes Public Health Dental West, North Wilkesboro, NC 28659 | 2013-06-04 |
| 1881983419 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 902 West D St, Ste B, North Wilkesboro, NC 28659 | 2011-04-05 |
| 1275838096 | Barium Springs Home for Children | Community Based Residential Treatment Facility, Mental Illness | 517 Boston Ave, North Wilkesboro, NC 28659 | 2011-01-26 |
| Find all providers in zip 28659 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699893420 | Marguinia Lynn Hull | Counselor | 1430 Willow Ln # C61-2, North Wilkesboro, NC 28659 | 2007-03-27 |
| 1134257397 | Bonnie Marie Torella | Counselor | 110 Jefferson St Ste 106, North Wilkesboro, NC 28659-3507 | 2007-03-01 |
| 1093784621 | James Kevin Laplante | Counselor | 1430 Willow Ln, West Park C61-2, North Wilkesboro, NC 28659-3551 | 2006-03-16 |
| 1053926725 | Esme Claire Bieberly | Counselor | 204 Jefferson St, North Wilkesboro, NC 28659-3543 | 2020-09-10 |
| 1295374775 | Elizabeth Devere | Counselor | 1400 Willow Ln, North Wilkesboro, NC 28659-3551 | 2019-12-31 |
| 1679120505 | John Andrew Garner | Counselor | 204 Jefferson St Ste 106, North Wilkesboro, NC 28659-3586 | 2019-08-26 |
| 1992367221 | Angela Veronica Hamilton-rucker | Counselor | 1400 Willow Ln, North Wilkesboro, NC 28659-3551 | 2019-07-08 |
| 1043877582 | Cynthia Tillene Huffstetler | Counselor | 1400 Willow Ln, North Wilkesboro, NC 28659-3551 | 2019-05-21 |
| 1154839306 | Christian Richard Immel | Counselor | 1400 Willow Ln, North Wilkesboro, NC 28659-3551 | 2018-01-22 |
| 1710423603 | Elizabeth E Taylor | Counselor | 1400 Willow Ln, North Wilkesboro, NC 28659-3551 | 2017-01-16 |
| Find all providers in NORTH WILKESBORO | ||||
| City | NORTH WILKESBORO |
| Zip Code | 28659 |
Please comment or provide details below to improve the information on MRS. MICHELLE PHILBROOK BENTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.