Provider Demographics
NPI:1326653023
Name:BENSMILLER, NICHOLAS TYLER (LMHC)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:TYLER
Last Name:BENSMILLER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 EXCHANGE PL APT 509
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-3224
Mailing Address - Country:US
Mailing Address - Phone:603-244-0914
Mailing Address - Fax:
Practice Address - Street 1:20 EXCHANGE PL APT 509
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-3224
Practice Address - Country:US
Practice Address - Phone:603-244-0914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009994101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health