Healthcare Provider Details

I. General information

NPI: 1497222046
Provider Name (Legal Business Name): AVIYA BENSKY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2018
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 W CHANDLER BLVD STE 225
CHANDLER AZ
85225-7534
US

IV. Provider business mailing address

575 W CHANDLER BLVD STE 225
CHANDLER AZ
85225-7534
US

V. Phone/Fax

Practice location:
  • Phone: 602-492-3603
  • Fax:
Mailing address:
  • Phone: 692-492-3603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number17343
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: