Amanda Benson Counseling, LLC

Organization Active NPI Professional Counselor · Shiloh, IL

NPI 1083083448 · NPPES record last updated Sep 16, 2015

Key facts

NPI
1083083448
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
License
180.008106 (IL)
Legal business name
AMANDA BENSON COUNSELING, LLC
Practice address
1161 Fortune Blvd Ste 400
Shiloh, IL 62269-7385
Phone
(618) 830-8146
Fax
(618) 206-8476
NPI assigned
Sep 16, 2015
Organization subpart
No

Authorized official

Name
Amanda Benson, M.A.
Title
LCPC
Phone
(618) 830-8146

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YP2500X 180.008106 IL Yes

Addresses

Primary practice location

1161 Fortune Blvd Ste 400
Shiloh, IL 62269-7385

Mailing address

912 Monterey Dr
O Fallon, IL 62269-2833
Phone (618) 830-8146

Other providers in Shiloh, IL

All providers in Shiloh, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.