Benton Street Counseling Llc

LBN: Benton Street Counseling Llc
Benton Street Counseling Llc is an health care organization with primary practice located at 119 N Benton St , Waynesville MO 65583-2501. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Benton Street Counseling Llc can be contacted via phone (573) 433-2833, or through Wyatt, Mary Ann via phone (573) 433-2833.

Contact Information

Primary practice address
119 N Benton St Waynesville MO 65583-2501
Phone: (573) 433-2833
Fax: (573) 433-2829
Website:
Map and Directions
Authorized official contact:
Name: Wyatt, Mary Ann Licensed Professional Counselor (LPC)
Phone: (573) 433-2833

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 2012036248 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2013015853 Missouri

Profile Details

NPI number 1932597721
LBN Legal business name Benton Street Counseling Llc
DBA Doing business as
Authorized official Wyatt, Mary Ann Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2014
Last updated Apr 13th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932597721 NPPES
Missouri MEDICAID 1932597721

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