Healthcare Provider Details

I. General information

NPI: 1477471126
Provider Name (Legal Business Name): CHANTE BENSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 E POLSTON AVE STE A
POST FALLS ID
83854-6045
US

IV. Provider business mailing address

211 E COEUR D'ALENE AVE STE 102
COEUR D'ALENE ID
83814
US

V. Phone/Fax

Practice location:
  • Phone: 208-981-0431
  • Fax: 208-620-2306
Mailing address:
  • Phone: 208-699-6817
  • Fax: 208-620-2306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5181617
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: