Provider Demographics
NPI:1427718600
Name:BENEVIE COUNSELING AND CONSULTING PLLC
Entity type:Organization
Organization Name:BENEVIE COUNSELING AND CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLUTHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-592-8630
Mailing Address - Street 1:1504 S 6TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78363-6774
Mailing Address - Country:US
Mailing Address - Phone:361-271-1595
Mailing Address - Fax:361-221-8736
Practice Address - Street 1:1504 S 6TH ST STE 2
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363-6774
Practice Address - Country:US
Practice Address - Phone:361-271-1595
Practice Address - Fax:361-221-8736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1477085959OtherNPI
TX3702941602Medicaid