Candace D Benner

LBN: Petsburgh Therapy Services Llc
Candace D Benner is an health care organization with primary practice located at 19871 Sackett Ln , Waynesville MO 65583-3510. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Petsburgh Therapy Services Llc can be contacted via phone (573) 315-3848, or through Benner, Candace D via phone (573) 315-3848.

Contact Information

Primary practice address
19871 Sackett Ln Waynesville MO 65583-3510
Phone: (573) 315-3848
Fax: (573) 312-3848
Website:
Map and Directions
Authorized official contact:
Name: Benner, Candace D MA, LPC, CCTP, EMDR
Phone: (573) 315-3848

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1518547918
LBN Legal business name Petsburgh Therapy Services Llc
DBA Doing business as Candace D Benner
Authorized official Benner, Candace D MA, LPC, CCTP, EMDR
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2021
Last updated Mar 18th, 2024 - about 8 months 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 1518547918 NPPES
Missouri Other 1467869156 NPI

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