Individual
BENI JO PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2300 21ST AVE S, SUITE 302, NASHVILLE, TN 37212-4927
(615) 292-4844
(615) 292-4844
Mailing address
2300 21ST AVE S, SUITE 302, NASHVILLE, TN 37212-4927
(615) 292-4844
(615) 292-4844
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW1174
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180719
BCBST
TN
Enumeration date
07/26/2006
Last updated
07/08/2007
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