Provider Demographics
NPI:1316171440
Name:BENSKIN, BEVERLEY (MA RN NCC LPC CT)
Entity type:Individual
Prefix:MISS
First Name:BEVERLEY
Middle Name:
Last Name:BENSKIN
Suffix:
Gender:F
Credentials:MA RN NCC LPC CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10316 BOLIVAR DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2985
Mailing Address - Country:US
Mailing Address - Phone:972-505-1142
Mailing Address - Fax:
Practice Address - Street 1:6136 FRISCO SQUARE BLVD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-3246
Practice Address - Country:US
Practice Address - Phone:972-505-1142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-04
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61388101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional