MEDICARE: MR. BENJAMIN PAUL HEINRICHS 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
1	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902194863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BENJAMIN PAUL HEINRICHS LMHC

Provider Business Mailing Address
First Line	:	5949 NW 63RD WAY
Second Line	:
City	:	PARKLAND
State	:	FL
Zip	:	33067-1525
Country	:	US
Telephone Number	:	954-372-6582
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 SE 6TH AVE STE 200
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-5306
Country	:	US
Telephone Number	:	954-372-6582
Fax Number	:

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

Provider Enumeration Date	:	07/13/2011
Last Update Date	:	02/01/2022

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