Provider Demographics
NPI:1013528504
Name:BENAY'S CREATIVE COUNSELING, LLC
Entity Type:Organization
Organization Name:BENAY'S CREATIVE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:BENAY
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-337-5337
Mailing Address - Street 1:14112 FARADAY CT
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-6594
Mailing Address - Country:US
Mailing Address - Phone:804-337-5337
Mailing Address - Fax:804-706-1741
Practice Address - Street 1:4914 FITZHUGH AVE STE 214
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3534
Practice Address - Country:US
Practice Address - Phone:804-337-5337
Practice Address - Fax:804-377-3956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-10
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)