MEDICARE: ANTHONY LOUIS BENOIT APRN, PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP134702	TX
2	163W00000X	Registered Nurse	725787	TX

General Provider Information

NPI Number	:	1083087365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY LOUIS BENOIT APRN, PMHNP

Provider Business Mailing Address
First Line	:	7000 BEE CAVES RD STE 325
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-5009
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 S CAPITAL OF TEXAS HWY STE 300
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-6544
Country	:	US
Telephone Number	:	844-824-8775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2015
Last Update Date	:	11/26/2025

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