MRS. STACEY DIANE BENJAMIN
NPI 1417740622
Counselor - Professional in Lake Havasu City, AZ

Active since May 28, 2025
450 LAKE HAVASU AVE S UNIT 202, LAKE HAVASU CITY, AZ 86403(928) 863-7078 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Stacey Diane Benjamin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STACEY DIANE BENJAMIN (NPI 1417740622) is an individual professional provider in Lake Havasu City, Arizona and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1417740622
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. STACEY DIANE BENJAMIN
Location Address450 LAKE HAVASU AVE S UNIT 202Lake Havasu City, AZ 86403-4504
Mailing Address3520 Buckboard WayLake Havasu City, AZ 86404-3449 · (928) 208-8410
Sole ProprietorYes
Enumeration DateMay 28, 2025
NPPES CertifiedMay 28, 2025
NPI 1417740622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
450 LAKE HAVASU AVE S UNIT 202, Lake Havasu City, AZ 86403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Benjamin's NPI number?

The NPI number for Stacey Benjamin is 1417740622. It was assigned to this individual provider in the NPPES registry on May 28, 2025.

Where is Stacey Benjamin located?

Stacey Benjamin practices at 450 Lake Havasu Ave S Unit 202, Lake Havasu City, AZ 86403. The listed phone number is (928) 863-7078.

What is Stacey Benjamin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Stacey Benjamin was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.