Provider Demographics
NPI:1710409859
Name:MAKIN, BEN (LPC)
Entity Type:Individual
Prefix:
First Name:BEN
Middle Name:
Last Name:MAKIN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:BENJAMIN
Other - Middle Name:
Other - Last Name:MAKIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:514 S CENTER ST
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16127-1326
Mailing Address - Country:US
Mailing Address - Phone:814-330-3296
Mailing Address - Fax:
Practice Address - Street 1:514 S CENTER ST
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:PA
Practice Address - Zip Code:16127-1326
Practice Address - Country:US
Practice Address - Phone:724-264-8818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-11
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health