Provider Demographics
NPI:1720615800
Name:MAZZA COUNSELING & CONSULTING
Entity type:Organization
Organization Name:MAZZA COUNSELING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAZZA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:212-466-6432
Mailing Address - Street 1:275 MURCIA DR APT 209
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-2762
Mailing Address - Country:US
Mailing Address - Phone:212-466-6432
Mailing Address - Fax:
Practice Address - Street 1:7136 BONITA DR APT 8
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-3067
Practice Address - Country:US
Practice Address - Phone:917-843-6981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-26
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)