Provider Demographics
NPI:1598188708
Name:DIKE, BENSON (LCDC;ACPE,AADC)
Entity Type:Individual
Prefix:
First Name:BENSON
Middle Name:
Last Name:DIKE
Suffix:
Gender:M
Credentials:LCDC;ACPE,AADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3880 GREENHOUSE RD STE 405
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-3486
Mailing Address - Country:US
Mailing Address - Phone:281-492-0909
Mailing Address - Fax:281-492-0906
Practice Address - Street 1:3880 GREENHOUSE RD STE 405
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-3486
Practice Address - Country:US
Practice Address - Phone:281-492-0909
Practice Address - Fax:281-492-0906
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-23
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral