Healthcare Provider Details

I. General information

NPI: 1205352572
Provider Name (Legal Business Name): EUGENIA L BENSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2017
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 RENICK AVE
CHILLICOTHEE OH
45601-2858
US

IV. Provider business mailing address

339 RENICK AVE
CHILLICOTHEE OH
45601-2858
US

V. Phone/Fax

Practice location:
  • Phone: 740-637-0303
  • Fax:
Mailing address:
  • Phone: 740-637-0303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2606017
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: