Benita Cyphers, MS, LAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Caushatta, LA
NPI 1902180318 · NPPES record last updated Oct 4, 2011
Key facts
- NPI
- 1902180318
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1313 Ringgold Avenue
Caushatta, LA 71019-1016 - Phone
- (318) 932-4029
- Fax
- (318) 932-5914
- NPI assigned
- Oct 4, 2011
- Sex
- Female
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LA | Yes | |
| Mental Health Counselor | 101YM0800X | LA |
Addresses
Primary practice location
1313 Ringgold Avenue
Caushatta, LA 71019-1016
Mailing address
1313 Ringgold Avenue
Caushatta, LA 71019-1016
Phone (318) 932-4029
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710687 | Medicaid | LA |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2011. 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.