Provider Demographics
NPI:1114606837
Name:BENSMAN, SARA BETH (LCMHCA)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:BETH
Last Name:BENSMAN
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 ECHO LAKE DR
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:NC
Mailing Address - Zip Code:28730-9662
Mailing Address - Country:US
Mailing Address - Phone:828-490-1909
Mailing Address - Fax:
Practice Address - Street 1:134 ECHO LAKE DR
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:NC
Practice Address - Zip Code:28730-9662
Practice Address - Country:US
Practice Address - Phone:828-490-1909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17286101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health