Provider Demographics
NPI:1972754836
Name:ADVOCATES FOR BEHAVIORAL HEALTH, P.A.
Entity Type:Organization
Organization Name:ADVOCATES FOR BEHAVIORAL HEALTH, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:HEBERT
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:316-630-8444
Mailing Address - Street 1:10333 E 21ST ST N STE 204
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-3545
Mailing Address - Country:US
Mailing Address - Phone:316-630-8444
Mailing Address - Fax:
Practice Address - Street 1:10333 E 21ST ST N STE 204
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-3545
Practice Address - Country:US
Practice Address - Phone:316-630-8444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty