Healthcare Provider Details

I. General information

NPI: 1831005263
Provider Name (Legal Business Name): KASSEY MARIE MCDONALD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 W LOOP 281 STE 211
LONGVIEW TX
75604-2930
US

IV. Provider business mailing address

1125 PINE BLUFF DR
LONGVIEW TX
75604-5753
US

V. Phone/Fax

Practice location:
  • Phone: 903-231-3220
  • Fax:
Mailing address:
  • Phone: 903-261-3968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number93166
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: