Healthcare Provider Details

I. General information

NPI: 1013832369
Provider Name (Legal Business Name): EASE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 ROOSEVELT AVE
MYSTIC CT
06355-2809
US

IV. Provider business mailing address

6 WINTERGREEN DR
QUAKER HILL CT
06375-1436
US

V. Phone/Fax

Practice location:
  • Phone: 860-400-2407
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CAROL DYSON
Title or Position: OWNER
Credential: LCSW
Phone: 860-400-2407