Healthcare Provider Details

I. General information

NPI: 1780593939
Provider Name (Legal Business Name): MARIA SUZANNE CASA LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6253 RIVERSIDE DR STE 100
DUBLIN OH
43017-5034
US

IV. Provider business mailing address

3709 CANAAN MATHEW
AUSTIN TX
78725-3036
US

V. Phone/Fax

Practice location:
  • Phone: 614-504-4484
  • Fax:
Mailing address:
  • Phone: 614-832-2234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberE.2607320
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: