Individual provider · Type 1 NPI
Tatyanna Benoit
Community/Behavioral Health Agency · Philadelphia, PA
Practice location
3131 N Broad St
Philadelphia, PA 19132-2422
Mailing address
3131 N Broad St Unit 1, Pmb 2149
Philadelphia, PA 19132-2422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | None listed |
| Behavior Analyst | 103K00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Community Health Clinic/Center | 261QC1500X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Community/Behavioral Health Agency Primary | 251S00000X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
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About NPI 1942115290
Tatyanna Benoit's National Provider Identifier is 1942115290, issued on Aug 18, 2026. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 18, 2026.