Benton Street Counseling LLC
NPI #1932597721 in Waynesville, Missouri
Provider Information
- NPI Number
- 1932597721
- Entity Type
- Organization
- Organization Name
- Benton Street Counseling LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 31, 2014
- Last Updated
- Apr 13, 2017
Practice Location
- Address
- 119 N BENTON ST
- City
- Waynesville
- State
- Missouri
- ZIP Code
- 65583-2501
- Phone
- (573) 433-2833
Authorized Official
- Name
- MARY ANN WYATT, LPC
- Title
- MEMBER
- Phone
- (573) 433-2833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Social Worker - Clinical — Clinical |
| Counselor - Mental Health — Mental Health |
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