Provider Demographics
NPI:1760841670
Name:BENITEZ, KAREN N (LMFT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:N
Last Name:BENITEZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 ROYAL TROON DR
Mailing Address - Street 2:
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-3294
Mailing Address - Country:US
Mailing Address - Phone:808-292-9014
Mailing Address - Fax:
Practice Address - Street 1:116 GALLERY CIR
Practice Address - Street 2:201
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3340
Practice Address - Country:US
Practice Address - Phone:210-400-3195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-19
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2021133106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist