Provider Demographics
NPI:1689973869
Name:BENSON, STEVE ROBERT (LPC)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:ROBERT
Last Name:BENSON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 THISTLEDOWN CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-8362
Mailing Address - Country:US
Mailing Address - Phone:704-778-2125
Mailing Address - Fax:
Practice Address - Street 1:274 N HIGHWAY 16
Practice Address - Street 2:SUITE 200
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-8476
Practice Address - Country:US
Practice Address - Phone:704-778-2125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-27
Last Update Date:2013-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7763101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional