Brooke Lynn Benson, M.S., LPC, NCC

Individual provider Active NPI Community/Behavioral Health Agency · Laramie, WY

NPI 1023100336 · NPPES record last updated Jun 9, 2015

Key facts

NPI
1023100336
Entity type
Individual (NPI type 1)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Practice address
4989 N 3Rd St
Laramie, WY 82072-9548
Phone
(307) 745-8997
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

4989 N 3Rd St
Laramie, WY 82072-9548

Mailing address

391 N Hayes St
Laramie, WY 82070-6244
Phone (307) 755-1866

Other providers in Laramie, WY

All providers in Laramie, WY · Community/Behavioral Health Agency in Wyoming

Sources for this page

Verify at the official NPI Registry.