Provider Demographics
NPI:1902117252
Name:BENSON, CHAI BAILEY (LMFT)
Entity type:Individual
Prefix:
First Name:CHAI
Middle Name:BAILEY
Last Name:BENSON
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 1:5199 E PACIFIC COAST HWY STE 308
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-3358
Mailing Address - Country:US
Mailing Address - Phone:562-551-0877
Mailing Address - Fax:
Practice Address - Street 1:5199 E PACIFIC COAST HWY STE 308
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-3358
Practice Address - Country:US
Practice Address - Phone:562-551-0877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-01
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105620101YM0800X
CALMFT105620106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health