BENTON STREET COUNSELING LLC NPI 1932597721

NPI Information

  • NPI: 1932597721
  • Provider Name: BENTON STREET COUNSELING LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 119 N BENTON ST
    WAYNESVILLE, MO
    ZIP 65583
  • Phone: (573) 433-2833

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NPI Details

BENTON STREET COUNSELING LLC is a mental health counselor in Waynesville, MO. BENTON STREET COUNSELING LLC NPI is 1932597721. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

119 N BENTON ST
WAYNESVILLE, MO
ZIP 65583-501
Phone: (573) 433-2833
Fax: (573) 433-2829

The provider's authorized official is Mary Ann Wyatt .
The authorized official title is Member and has the following contact phone number (573) 433-2833.

The enumeration date for this NPI number is 12/31/2014 and was last updated on 4/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional2012036248MISSOURINo
21041C0700XSocial WorkerClinical2013015853MISSOURINo
3101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11932597721MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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