Provider Demographics
NPI:1669156477
Name:K COUNSELING LLC
Entity type:Organization
Organization Name:K COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAITLYN
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MAZZILLI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:781-888-4887
Mailing Address - Street 1:177 HUNTINGTON AVE
Mailing Address - Street 2:STE 1703 #499609
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:781-888-4887
Mailing Address - Fax:781-857-2159
Practice Address - Street 1:848 BROCKTON AVE
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:MA
Practice Address - Zip Code:02351-2116
Practice Address - Country:US
Practice Address - Phone:781-888-4887
Practice Address - Fax:781-857-2044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)