Healthcare Provider Details

I. General information

NPI: 1689379075
Provider Name (Legal Business Name): AT EASE COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2023
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 4TH ST
BROOKINGS SD
57006-2003
US

IV. Provider business mailing address

418 4TH ST
BROOKINGS SD
57006-2003
US

V. Phone/Fax

Practice location:
  • Phone: 605-697-3002
  • Fax:
Mailing address:
  • Phone: 605-697-3002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARY JANET FLATTEN
Title or Position: BUSINESS ADMINISTRATOR
Credential:
Phone: 605-697-3002