Healthcare Provider Details

I. General information

NPI: 1205311073
Provider Name (Legal Business Name): REBECCA S. BEN-MERRE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2018
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4498 MAIN ST
AMHERST NY
14226-3826
US

IV. Provider business mailing address

4498 MAIN ST
AMHERST NY
14226-3826
US

V. Phone/Fax

Practice location:
  • Phone: 716-209-3019
  • Fax:
Mailing address:
  • Phone: 716-209-3019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: