Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benton Street Counseling LLC

Organization Mental Health Counselor · NPI 1578053955

Benton Street Counseling LLC is a Mental Health Counselor in Rolla, Missouri. Works from 3 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2018
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1030 Kingshighway St Ste A
Rolla, MO 65401-2930
Phone: (573) 458-9920
Fax: (573) 433-2829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2017011362 (MO)
Mental Health Counselor Taxonomy 101YM0800X · Licence 000281 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2010036135 (MO)

Record details

NPI number1578053955
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Wyatt — Member · (573) 433-2833
NPI enumeratedMay 11, 2018
Last updated in NPPESMay 11, 2018
Mailing address1030 Kingshighway St Ste A, Rolla, MO 65401-2930

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