Provider Demographics
NPI:1407598923
Name:BENSIE, CARLA DESIREE (LPC)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:DESIREE
Last Name:BENSIE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 STATE ROUTE 151
Mailing Address - Street 2:
Mailing Address - City:MINGO JUNCTION
Mailing Address - State:OH
Mailing Address - Zip Code:43938-2603
Mailing Address - Country:US
Mailing Address - Phone:740-219-9818
Mailing Address - Fax:
Practice Address - Street 1:88 STATE ROUTE 151
Practice Address - Street 2:
Practice Address - City:MINGO JUNCTION
Practice Address - State:OH
Practice Address - Zip Code:43938-2603
Practice Address - Country:US
Practice Address - Phone:740-219-9818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2448101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health