Provider Demographics
NPI:1669198248
Name:BENSON, ARISHA RACQUEL (LMSW, LSSW)
Entity type:Individual
Prefix:MS
First Name:ARISHA
Middle Name:RACQUEL
Last Name:BENSON
Suffix:
Gender:F
Credentials:LMSW, LSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 MOORE CROSSING
Mailing Address - Street 2:
Mailing Address - City:BYHALIA
Mailing Address - State:MS
Mailing Address - Zip Code:38611
Mailing Address - Country:US
Mailing Address - Phone:901-239-1321
Mailing Address - Fax:
Practice Address - Street 1:4100 ROSS RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115-6612
Practice Address - Country:US
Practice Address - Phone:901-730-8157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13899104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker