Provider Demographics
NPI:1316800717
Name:BENECKSON, ROBERT ELLIOTT (MS LMHC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:ELLIOTT
Last Name:BENECKSON
Suffix:
Gender:M
Credentials:MS LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18841 BELMONT DR
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-6915
Mailing Address - Country:US
Mailing Address - Phone:786-312-7512
Mailing Address - Fax:708-827-1568
Practice Address - Street 1:18841 BELMONT DR
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-6915
Practice Address - Country:US
Practice Address - Phone:786-312-7512
Practice Address - Fax:708-827-1568
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL26857101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health