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NPI Code Detail

MEDICARE: MR. EMMITT KASEY LPC

MEDICARE: MR. EMMITT KASEY LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0701015798VA

General Provider Information

NPI Number : 1588513378
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EMMITT KASEY LPC
Provider Business Mailing Address
First Line : PO BOX 20326
Second Line :
City : ROANOKE
State : VA
Zip : 24018-0033
Country : US
Telephone Number : 540-315-5673
Fax Number :
Provider Business Practice Location Address
First Line : 707 5TH ST NE
Second Line :
City : ROANOKE
State : VA
Zip : 24016-2123
Country : US
Telephone Number : 540-966-5808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2026
Last Update Date : 01/24/2026

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