Provider Demographics
NPI:1578373478
Name:EASE COUNSELING, LLC
Entity type:Organization
Organization Name:EASE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAZZULO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:858-775-9087
Mailing Address - Street 1:300 BAYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PASS CHRISTIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39571-2114
Mailing Address - Country:US
Mailing Address - Phone:858-775-9087
Mailing Address - Fax:
Practice Address - Street 1:300 BAYWOOD DR
Practice Address - Street 2:
Practice Address - City:PASS CHRISTIAN
Practice Address - State:MS
Practice Address - Zip Code:39571-2114
Practice Address - Country:US
Practice Address - Phone:858-775-9087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty