Healthcare Provider Details

I. General information

NPI: 1265351217
Provider Name (Legal Business Name): LIZBETH BENAVIDES LPCC, NCC, PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LIZBETH ORTIZ

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22936 HARVEST MILL CIR
SANTA CLARITA CA
91350-5859
US

IV. Provider business mailing address

22936 HARVEST MILL CIR
SANTA CLARITA CA
91350-5859
US

V. Phone/Fax

Practice location:
  • Phone: 747-999-5004
  • Fax:
Mailing address:
  • Phone: 747-999-5004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number22950
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: