# CREEKSIDE PSYCHIATRIC CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** R. Scott Benson, M.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730200023
- **Authorized official:** R SCOTT BENSON M.D. (OWNER)
- **Authorized official phone:** (850) 476-0977

## Contact information

- **Practice address:** 5190 BAYOU BLVD STE 6, PENSACOLA, FL 32503-2162
- **Practice address phone:** (850) 476-0977
- **Practice address fax:** (850) 476-2558
- **Mailing address:** 5190 BAYOU BLVD STE 6, PENSACOLA, FL 32503-2162
- **Mailing address phone:** (850) 476-0977
- **Mailing address fax:** (850) 476-2558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | ME26830 | FL | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 08/22/2020