Provider Demographics
NPI:1992077341
Name:BENCHMARK COUNSELING, LLC
Entity type:Organization
Organization Name:BENCHMARK COUNSELING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:GOWAN
Authorized Official - Suffix:
Authorized Official - Credentials:ICDC, IPC
Authorized Official - Phone:972-267-2800
Mailing Address - Street 1:4975 PRESTON PARK BLVD
Mailing Address - Street 2:SUITE 790
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093
Mailing Address - Country:US
Mailing Address - Phone:972-267-2800
Mailing Address - Fax:972-985-2120
Practice Address - Street 1:4975 PRESTON PARK BLVD
Practice Address - Street 2:SUITE 790
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093
Practice Address - Country:US
Practice Address - Phone:972-267-2800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9873101YA0400X
TX101YP1600X
TX20319101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty