Provider Demographics
NPI:1982403747
Name:BENNER, VIOLET M (MS, LPC)
Entity type:Individual
Prefix:
First Name:VIOLET
Middle Name:M
Last Name:BENNER
Suffix:
Gender:
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:681 HARLEYSVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-2854
Mailing Address - Country:US
Mailing Address - Phone:215-256-8610
Mailing Address - Fax:
Practice Address - Street 1:681 HARLEYSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-2854
Practice Address - Country:US
Practice Address - Phone:215-256-9810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC017628101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional