Dawn Michelle Hall

Individual provider Active NPI Mental Health Counselor · Camdenton, MO

NPI 1477051092 · NPPES record last updated Jan 29, 2018

Key facts

NPI
1477051092
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
89 McCrory Drive
Camdenton, MO 65020
Phone
(573) 525-7071
Fax
(573) 525-7072
NPI assigned
Jan 29, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Benton Street Counseling LLC Mental Health Past Accepting new patients
Benton Street Counseling LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

89 McCrory Drive
Camdenton, MO 65020

Mailing address

16 Elm LN
Sunrise Beach, MO 65079-5354
Phone (702) 613-7321

Other providers in Camdenton, MO

All providers in Camdenton, MO · Mental Health Counselor in Missouri

Sources for this page

Verify at the official NPI Registry.