Provider Demographics
NPI:1689907529
Name:BENSON, KIMBERLY SMITH (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:SMITH
Last Name:BENSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 NORTH WASHINGTON BLVD
Mailing Address - Street 2:SARASOTA
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236
Mailing Address - Country:US
Mailing Address - Phone:941-343-7244
Mailing Address - Fax:
Practice Address - Street 1:715 NORTH WASHINGTON BLVD
Practice Address - Street 2:SARASOTA
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-4256
Practice Address - Country:US
Practice Address - Phone:941-343-7244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 9970101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health