Provider Demographics
NPI:1992039341
Name:OKAI, BENJAMIN (LPC)
Entity Type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:
Last Name:OKAI
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3128 STONEHENGE DR
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-9588
Mailing Address - Country:US
Mailing Address - Phone:501-593-0639
Mailing Address - Fax:
Practice Address - Street 1:210 THIRD ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:AR
Practice Address - Zip Code:72112-3302
Practice Address - Country:US
Practice Address - Phone:501-303-1655
Practice Address - Fax:501-303-1653
Is Sole Proprietor?:No
Enumeration Date:2009-10-01
Last Update Date:2012-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA09034050101Y00000X
ARP1201006101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor