Kristen Dukes Benfield, LPC
Individual provider Active NPI Professional Counselor · Pavo, GA
NPI 1295070738 · NPPES record last updated Jan 20, 2016
Key facts
- NPI
- 1295070738
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC008406 (GA)
- Practice address
- 1534 Simmons Rd
Pavo, GA 31778-4107 - Phone
- (229) 403-5062
- NPI assigned
- Dec 10, 2012
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC008406 | GA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | LPC008406 | GA | Yes |
Addresses
Primary practice location
1534 Simmons Rd
Pavo, GA 31778-4107
Mailing address
1534 Simmons Rd
Pavo, GA 31778-4107
Phone (229) 403-5062
Other providers in Pavo, GA
- Best Therapy Health and Wellness LLC
- Devenney Brown
- John D. Archbold Memorial Hospital, Inc.
- Dana Lameier
All providers in Pavo, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.