Provider Demographics
NPI:1275108912
Name:BENJAMIN, ERIN GETMAN (LCMHCA)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:GETMAN
Last Name:BENJAMIN
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 1:1029 TRADITIONS MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-9592
Mailing Address - Country:US
Mailing Address - Phone:919-745-0235
Mailing Address - Fax:
Practice Address - Street 1:536 WAIT AVE
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-2728
Practice Address - Country:US
Practice Address - Phone:919-421-4122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA16434101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health