| Benton Street Counseling Llc | |
|
119 N Benton St Waynesville MO 65583-2501 | |
| (573) 433-2833 | |
| (573) 433-2829 |
| Full Name | Benton Street Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 119 N Benton St, Waynesville, Missouri |
| Authorized Official Name and Position | Mary Ann Wyatt (MEMBER) |
| Authorized Official Contact | 5734332833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benton Street Counseling Llc 119 N Benton St Waynesville MO 65583-2501 Ph: (573) 433-2833 | Benton Street Counseling Llc 119 N Benton St Waynesville MO 65583-2501 Ph: (573) 433-2833 |
| NPI Number | 1932597721 |
|---|---|
| Provider Enumeration Date | 12/31/2014 |
| Last Update Date | 04/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932597721 | NPI | - | NPPES |
| 1932597721 | Medicaid | MO |
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