Organization
THERESA R BENSKY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA R BENSKY LISW (CLINICAL DIRECTOR)
(641) 344-0913
Entity
Organization
Contact information
Practice address
813 N LINCOLN ST APT 3, CRESTON, IA 50801-1300
(641) 344-0913
Mailing address
813 N LINCOLN ST APT 3, CRESTON, IA 50801-1300
(641) 344-0913
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
01222
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010215
—
IA
01
—
01199
BLUE CROSS / BLUE SHIELD
IA
Enumeration date
01/09/2013
Last updated
08/20/2015
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