Doctor Name: | NICOLE MICHELLE BENJAMIN |
NPI Number: | 1053557108 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 7215 |
Business Practice Address: | 107 Se Main St Suite 208 Rocky Mount, NC - 278015400 |
Business Phone Number: | 9195232100 |
Business Fax Number: | |
Mailing Address: | 4212 Crowfield Dr, RALEIGH |
State: | NC |
Postal Code: | 276105346 |
Phone Number: | 9195232100 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2008 |
NPI Last Update Date: | 07/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 7215 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |