Healthcare Provider Details

I. General information

NPI: 1508510868
Provider Name (Legal Business Name): CASSANDRA LEIGH DENHAM LMHC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2022
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 ROUTE 47 S
RIO GRANDE NJ
08242-1506
US

IV. Provider business mailing address

98 SHADELAND AVE
VILLAS NJ
08251-1253
US

V. Phone/Fax

Practice location:
  • Phone: 609-305-3759
  • Fax:
Mailing address:
  • Phone: 609-305-3759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01187700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH19121
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: