Healthcare Provider Details
I. General information
NPI: 1851847511
Provider Name (Legal Business Name): COURTNEY CAMP BENSON M.A., LPA, LCAS-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/31/2016
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
375 10TH AVENUE DR NE STE 200
HICKORY NC
28601-2647
US
IV. Provider business mailing address
375 10TH AVENUE DR NE STE 200
HICKORY NC
28601-2647
US
V. Phone/Fax
- Phone: 828-333-9320
- Fax: 980-498-6700
- Phone: 828-333-9320
- Fax: 980-498-6700
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | LCAS-21876 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | 5099 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: