Healthcare Provider Details

I. General information

NPI: 1447462866
Provider Name (Legal Business Name): DEIRDRE ANNE BENJAMIN LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. DEIRDRE ANNE ELKINS

II. Dates (important events)

Enumeration Date: 05/06/2007
Last Update Date: 10/25/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3055 AUSTIN BLUFFS PKWY STE C
COLORADO SPRINGS CO
80918-5758
US

IV. Provider business mailing address

765 STARGATE DR
COLORADO SPRINGS CO
80911-3843
US

V. Phone/Fax

Practice location:
  • Phone: 719-327-2006
  • Fax:
Mailing address:
  • Phone: 719-474-9077
  • Fax: 719-445-2216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: