Provider Demographics
NPI:1609992148
Name:CAMPBELL, BENIKA LENORA (LPC)
Entity Type:Individual
Prefix:MS
First Name:BENIKA
Middle Name:LENORA
Last Name:CAMPBELL
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 1:8406 HWY 107
Mailing Address - Street 2:STE. 7
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120
Mailing Address - Country:US
Mailing Address - Phone:501-835-9900
Mailing Address - Fax:501-835-9900
Practice Address - Street 1:8406 HWY 107
Practice Address - Street 2:STE. 7
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120
Practice Address - Country:US
Practice Address - Phone:501-835-9900
Practice Address - Fax:501-835-9900
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0610059101YM0800X
ARA0307061101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5A102OtherBLUECROSSBLUESHIELD