Provider Demographics
NPI:1689379075
Name:AT EASE COUNSELING LLC
Entity Type:Organization
Organization Name:AT EASE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:FLATTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-480-1117
Mailing Address - Street 1:418 4TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57006-2003
Mailing Address - Country:US
Mailing Address - Phone:605-697-3002
Mailing Address - Fax:
Practice Address - Street 1:418 4TH ST
Practice Address - Street 2:
Practice Address - City:BROOKINGS
Practice Address - State:SD
Practice Address - Zip Code:57006-2003
Practice Address - Country:US
Practice Address - Phone:605-697-3002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty