Provider Demographics
NPI:1841590205
Name:BENFIELD COUNSELING SERVICES
Entity Type:Organization
Organization Name:BENFIELD COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KITTY
Authorized Official - Middle Name:CONLEY
Authorized Official - Last Name:BENFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MA,LPC,NCC
Authorized Official - Phone:828-238-9919
Mailing Address - Street 1:715 FAIRGROVE CHURCH RD SE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CONOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28613-9290
Mailing Address - Country:US
Mailing Address - Phone:828-238-9919
Mailing Address - Fax:828-322-2280
Practice Address - Street 1:715 FAIRGROVE CHURCH RD SE
Practice Address - Street 2:SUITE 202
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613-9290
Practice Address - Country:US
Practice Address - Phone:828-238-9919
Practice Address - Fax:828-322-2280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3167101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103385Medicaid