Provider Demographics
NPI:1609491521
Name:MASON CONSULTING, LLC
Entity Type:Organization
Organization Name:MASON CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHURKELA
Authorized Official - Middle Name:LA VETTE
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:810-853-9795
Mailing Address - Street 1:2503 S LINDEN RD STE 270
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-5456
Mailing Address - Country:US
Mailing Address - Phone:810-853-9795
Mailing Address - Fax:810-213-1471
Practice Address - Street 1:2503 S LINDEN RD STE 270
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-5456
Practice Address - Country:US
Practice Address - Phone:810-853-9795
Practice Address - Fax:810-213-1471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty