Individual provider · Type 1 NPI

Tatyanna Benoit

Community/Behavioral Health Agency · Philadelphia, PA

NPI number 1942115290 Active

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

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401XNone listed
Behavior Analyst 103K00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Community Health Clinic/Center 261QC1500XNone listed
Primary Care Clinic/Center 261QP2300XNone listed
Community/Behavioral Health Agency Primary 251S00000XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Case Management Agency 251B00000XNone listed
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone 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.