MEDICARE: CASI KNOWLES LMHC

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
1	101YM0800X	Mental Health Counselor	MH 12154	FL

General Provider Information

NPI Number	:	1851714323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASI KNOWLES LMHC

Provider Business Mailing Address
First Line	:	674 ARBUKLE CT
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-4638
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	674 ARBUKLE CT
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-4638
Country	:	US
Telephone Number	:	404-313-9731
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2014
Last Update Date	:	02/03/2014

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Directions to “ CASI KNOWLES LMHC” Practice Location

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