Provider Demographics
NPI:1770116279
Name:BENN, TANYA
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:
Last Name:BENN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 WESTLAKE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-2695
Mailing Address - Country:US
Mailing Address - Phone:206-956-9570
Mailing Address - Fax:206-448-8495
Practice Address - Street 1:2008 WESTLAKE AVE STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-2695
Practice Address - Country:US
Practice Address - Phone:206-956-9570
Practice Address - Fax:206-448-8495
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-13
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty