Provider Demographics
NPI:1285881383
Name:REGISTER, BENJAMIN (LPC)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:REGISTER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10201 W MARKHAM ST STE 341
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-2195
Mailing Address - Country:US
Mailing Address - Phone:501-500-3141
Mailing Address - Fax:501-764-4242
Practice Address - Street 1:10201 W MARKHAM ST STE 341
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2195
Practice Address - Country:US
Practice Address - Phone:501-500-3141
Practice Address - Fax:501-764-4242
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1010067101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional