OrganizationActive
Benton Street Counseling LLC
NPI 1578053955 · Professional Counselor · Rolla, MO
Provider details
- NPI number
- 1578053955
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Authorized official
- Mary Wyatt, Member
- License
- 2010036135 (MO)
Practice location
1030 Kingshighway St Ste a
Rolla, MO 65401-2930
Phone: (573) 458-9920
Fax: (573) 433-2829
Mailing address
1030 Kingshighway St Ste a
Rolla, MO 65401-2930
Registry dates
- Enumerated
- 2018-05-11
- Last updated
- 2018-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.