Provider Demographics
NPI:1639832769
Name:SHARED EASEL COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:SHARED EASEL COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JO
Authorized Official - Middle Name:KRISTIN
Authorized Official - Last Name:BONESIO-SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LLC
Authorized Official - Phone:214-529-3783
Mailing Address - Street 1:9551 ASH CREEK DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-3734
Mailing Address - Country:US
Mailing Address - Phone:214-215-9337
Mailing Address - Fax:
Practice Address - Street 1:9551 ASH CREEK DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-3734
Practice Address - Country:US
Practice Address - Phone:214-215-9337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-15
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty