Organization
BENWOOD COUNSELING SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA DAVIS (OWNER)
(361) 853-0091
Entity
Organization
Contact information
Practice address
6500 S PADRE ISLAND DR, 2, CORPUS CHRISTI, TX 78412-4065
(361) 853-0091
(361) 853-2502
Mailing address
6500 S PADRE ISLAND DR, 2, CORPUS CHRISTI, TX 78412-4065
(361) 853-0091
(361) 853-2502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16729
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114975448
NPI
TX
05
—
143058902
—
TX
Enumeration date
03/01/2007
Last updated
07/10/2013
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