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NPI Code Detail

MEDICARE: MS. CATHY CASSIDY MA., MS., LCPC

MEDICARE: MS. CATHY CASSIDY MA., MS., LCPC
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 Counselor180007426IL
2101YP2500XProfessional CounselorCP0082NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1171511217OTHERCOMMERCIAL INSURANCE
21225366008OTHERIL307
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225366008
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHY CASSIDY MA., MS., LCPC
Provider Business Mailing Address
First Line : 1489 W WARM SPRINGS RD STE 110
Second Line :
City : HENDERSON
State : NV
Zip : 89014-7367
Country : US
Telephone Number : 702-670-1209
Fax Number :
Provider Business Practice Location Address
First Line : 1489 W WARM SPRINGS RD STE 110
Second Line :
City : HENDERSON
State : NV
Zip : 89014-7367
Country : US
Telephone Number : 702-670-1209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2009
Last Update Date : 02/27/2025

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