Ezzedine Counseling Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EZZEDINE COUNSELING SERVICES, LLC

Practice address

21 Lewis St
Wethersfield, CT 06109-1620

Phone

(215) 706-9914

NPI assigned

Jan 22, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lori Ezzedine, LPCNPI 1932864105

Title

Owner

Phone

(215) 706-9914

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori Ezzedine, MA LPC

  • Professional Counselor
  • West Hartford, CT
  • NPI 1932864105
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642809600000",
    "number": "1376295154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064750276",
            "telephone_number": "215-706-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LEWIS ST",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091620",
            "telephone_number": "215-706-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZZEDINE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-22",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A",
        "authorized_official_last_name": "EZZEDINE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-706-9914",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Elek, APRN
• Ahmed Elwan, MD, RPVI
• David Keith Emmel, M.D.
• Empowering Change Counseling Services, LLC
• Ellyssa L Eror, MD
• Frances Arlene Fallon, MFT,LADC
• Sherif Farouk Khodiri Mahmoud
• Kevin Jonathan Finkel, M.D.
• Mary Ann D Fitzgerald, PC
• Susan R Flanagan, PT

• Mental Health Counselor in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.