Provider Demographics
NPI:1679053540
Name:ADVANCED PRACTICE PSYCHIATRIC SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ADVANCED PRACTICE PSYCHIATRIC SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CB
Authorized Official - Middle Name:
Authorized Official - Last Name:BENWAY
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:972-890-5453
Mailing Address - Street 1:13327 WISDOM WAY
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-1513
Mailing Address - Country:US
Mailing Address - Phone:240-970-7300
Mailing Address - Fax:301-671-1681
Practice Address - Street 1:13327 WISDOM WAY
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-1513
Practice Address - Country:US
Practice Address - Phone:240-970-7300
Practice Address - Fax:301-671-1681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-20
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty