Provider Demographics
NPI:1851847511
Name:BENSON, COURTNEY CAMP (MA, LPA, LCAS-A)
Entity Type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:CAMP
Last Name:BENSON
Suffix:
Gender:F
Credentials:MA, LPA, LCAS-A
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:PAIGE
Other - Last Name:CAMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPA, LCAS-A
Mailing Address - Street 1:284 EXECUTIVE PARK DRIVE
Mailing Address - Street 2:STE 100
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-1894
Mailing Address - Country:US
Mailing Address - Phone:704-939-1100
Mailing Address - Fax:704-939-1173
Practice Address - Street 1:101 COLVARD ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28640
Practice Address - Country:US
Practice Address - Phone:336-246-4542
Practice Address - Fax:336-246-2364
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCASA-21876101YA0400X
NC5099103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)