Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kendra Caroline Bennett, LPC-SUPERVISOR

Individual provider Counselor · NPI 1417719154

Kendra Caroline Bennett, LPC-SUPERVISOR is a Counselor in Longview, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2024
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Practice location Address checks out

107 Community Blvd Ste 2
Longview, TX 75605-6186
Phone: (903) 590-7723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 72450 (TX)

Record details

NPI number1417719154
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-SUPERVISOR
Sole proprietorYes
NPI enumeratedJanuary 29, 2024
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 28, 2024
Mailing address3635 County Road 334, Tyler, TX 75708-2726

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