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General NPI Number Information
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NPI Number | 1912386822
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Entity Type | Individual
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Provider Name | SHERRICE BENJAMIN MA, LLPC, CCTP
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Gender | Female
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Dates
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Enumeration Date | 05/26/2015
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 7724 14TH ST
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City | DETROIT
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State | MI
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Zip | 48206-2644
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Country | US
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Telephone | 734-847-3802
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Fax |
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Provider Business Mailing Address
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Address Line | 13630 PEARSON ST
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City | OAK PARK
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State | MI
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Zip | 48237-2760
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Country | US
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Telephone | 313-687-7506
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 6803086712
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401015065
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License Number State | MI
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