MEDICARE: ERIN BENSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	11203	SC

General Provider Information

NPI Number	:	1194690727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN BENSON

Provider Business Mailing Address
First Line	:	1288 JULIAN CLARK RD
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29412-5208
Country	:	US
Telephone Number	:	843-640-0215
Fax Number	:

Provider Business Practice Location Address
First Line	:	1171 SOUTHGATE DR
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-4209
Country	:	US
Telephone Number	:	843-640-0215
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2025
Last Update Date	:	10/06/2025

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