MEDICARE: MELINDA B BENJUMEA LPC, LPA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor
3	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134130974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINDA B BENJUMEA LPC, LPA

Provider Business Mailing Address
First Line	:	7011 SOUTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2007
Country	:	US
Telephone Number	:	713-970-7000
Fax Number	:	713-970-7246

Provider Business Practice Location Address
First Line	:	3602 W DALLAS ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-1704
Country	:	US
Telephone Number	:	713-284-8440
Fax Number	:	713-284-8440

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

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	05/02/2024

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