MEDICARE: MRS. SHEREE MAFE BENJAMIN M.A.

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	MH24728	FL

General Provider Information

NPI Number	:	1326617200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHEREE MAFE BENJAMIN M.A.

Provider Business Mailing Address
First Line	:	11460 FRESHWATER RIDGE DR
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33569-2060
Country	:	US
Telephone Number	:	813-815-7890
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 W KENNEDY BLVD STE 204
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-2255
Country	:	US
Telephone Number	:	813-330-0751
Fax Number	:

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

Provider Enumeration Date	:	06/23/2021
Last Update Date	:	03/03/2026

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