Organization
LA BENALDE INTERGRATIVE MENTAL & BEHAVIORAL HEALTH , PLLC
Active
Other names
AFFIRM BEHAVIORAL AND MENTAL HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN C BENEDICT (OWNER)
(915) 203-8832
Entity
Organization
Contact information
Practice address
6044 GATEWAY BLVD E STE 444, EL PASO, TX 79905-2037
(915) 203-8832
Mailing address
11232 IVANHOE DR, EL PASO, TX 79936-2207
(915) 799-8416
(915) 242-0400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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