Provider Demographics
NPI:1043455132
Name:BENSMAN, MAUREEN ANN (MED, LPCC)
Entity type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:ANN
Last Name:BENSMAN
Suffix:
Gender:F
Credentials:MED, LPCC
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:ANN
Other - Last Name:KENNEDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED LPCC-S
Mailing Address - Street 1:123 GRAVES AVE
Mailing Address - Street 2:
Mailing Address - City:ERLANGER
Mailing Address - State:KY
Mailing Address - Zip Code:41018-1614
Mailing Address - Country:US
Mailing Address - Phone:859-750-7804
Mailing Address - Fax:859-912-7709
Practice Address - Street 1:510 GRAVES AVE STE 206
Practice Address - Street 2:
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018
Practice Address - Country:US
Practice Address - Phone:859-750-7804
Practice Address - Fax:859-813-4389
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2019-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY103350101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100419770Medicaid