NPIMap

Julie A Bennett, PLPC

Individual provider Active NPI Professional Counselor · Lamar, MO

NPI 1891779583 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1891779583
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2003032134 (MO)
Practice address
1107 Broadway St
Lamar, MO 64759-1758
Phone
(417) 682-5757
Fax
(417) 682-5757
NPI assigned
Dec 6, 2005
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
2003032134MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Mental Health Consultants LLC Past
since Aug 18, 2015		 Accepting new patients
Allied Mental Health Associates, Inc. Professional Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2003032134 MO Yes

Addresses

Primary practice location

1107 Broadway St
Lamar, MO 64759-1758

Mailing address

100 S Prewitt St
Nevada, MO 64772-1760
Phone (417) 667-8700

Other providers in Lamar, MO

All providers in Lamar, MO · Professional Counselor in Missouri

Sources for this page

Verify at the official NPI Registry.