Healthcare Provider Details

I. General information

NPI: 1366367278
Provider Name (Legal Business Name): MARGARET GOLDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET BENTLEY

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 PORTER WAGONER BLVD
WEST PLAINS MO
65775-1826
US

IV. Provider business mailing address

5412 LA CHARETTE DR
JEFFERSON CITY MO
65109-6280
US

V. Phone/Fax

Practice location:
  • Phone: 417-257-6762
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2026034032
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: