DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. STACEY DIANE BENJAMIN

Active Sole Proprietor

MRS. STACEY DIANE BENJAMIN is a Professional Counselor healthcare provider located in LAKE HAVASU CITY, Arizona. NPI 1417740622 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · LAKE HAVASU CITY, AZ

Registration Details

NPI Number
1417740622
Provider Type
Individual
Gender
Female
NPI Issued
May 28, 2025 (1.1896629546856 yrs)
Last Updated
May 28, 2025
Sole Proprietor
Yes

Practice Information

Address
450 LAKE HAVASU AVE S UNIT 202
LAKE HAVASU CITY, AZ, 864034504
Browse AZ providers · Browse ZIP 86403
Phone
9288637078
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in LAKE HAVASU CITY, AZ

Name Credential NPI
MR. MICHAEL E. MCCLUSKEY LPC, LISAC 1619910189
MISS SUSAN LYNN MARTIN MA, LPC 1124261102
TANYA POWELL MA, LPC 1972926830
MOLLY PORT LPC 1124431101
RAKEL CONNELL MS 1225798937
MELISSA J BLOWER LPCC 13751 1659059756
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.