Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Stacey Diane Benjamin

Individual provider Professional Counselor · NPI 1417740622

Mrs. Stacey Diane Benjamin is a Professional Counselor in Lake Havasu City, Arizona. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

450 Lake Havasu Ave S Unit 202
Lake Havasu City, AZ 86403-4504
Phone: (928) 863-7078
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1417740622
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 28, 2025
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

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