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NPI Code Detail

MEDICARE: MRS. KIMBERLY SMITH BENSON LMHC

MEDICARE: MRS. KIMBERLY SMITH BENSON LMHC
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
1101YM0800XMental Health CounselorMH 9970FL

General Provider Information

NPI Number : 1689907529
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY SMITH BENSON LMHC
Provider Business Mailing Address
First Line : 715 NORTH WASHINGTON BLVD
Second Line : SARASOTA
City : SARASOTA
State : FL
Zip : 34236
Country : US
Telephone Number : 941-343-7244
Fax Number :
Provider Business Practice Location Address
First Line : 715 NORTH WASHINGTON BLVD
Second Line : SARASOTA
City : SARASOTA
State : FL
Zip : 34236-4256
Country : US
Telephone Number : 941-343-7244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2009
Last Update Date : 09/10/2009

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Directions to “ MRS. KIMBERLY SMITH BENSON LMHC” Practice Location

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