Organization · Type 2 NPI

Benton Street Counseling LLC

Professional Counselor · Rolla, MO

NPI number 1578053955 Active

Practice location

1030 Kingshighway St Ste A
Rolla, MO 65401-2930

Fax (573) 433-2829

Other practice locations

  • 119 N Benton St, Waynesville, MO 65583-2501 · (573) 433-2833
  • 89 Mccrory Drive, Camdenton, MO 65020 · (573) 525-7071

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X000281 (MO)
Professional Counselor Primary 101YP2500X2017011362 (MO)
Clinical Social Worker 1041C0700X2010036135 (MO)

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About NPI 1578053955

Benton Street Counseling LLC's National Provider Identifier is 1578053955, issued on May 11, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rolla, MO. The record was last updated on May 11, 2018.