| Doctor Name: | BENJAMIN STEVENS |
| NPI Number: | 1699964957 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPCC |
| License Number: | 1056 |
| Business Practice Address: | 103 East South Street Munfordville, KY - 427658911 |
| Business Phone Number: | 2706963181 |
| Business Fax Number: | 8773081668 |
| Mailing Address: | 540 Levi Beams Rd, MAGNOLIA |
| State: | KY |
| Postal Code: | 427577960 |
| Phone Number: | 2706963181 |
| Fax Number: | 1877308166 |
| NPI Enumeration Date: | 10/23/2007 |
| NPI Last Update Date: | 09/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1056 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |