Provider Demographics
NPI:1104297738
Name:CASSANDRA'S COUNSELING
Entity type:Organization
Organization Name:CASSANDRA'S COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC
Authorized Official - Prefix:MISS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GADOUAS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:727-505-0959
Mailing Address - Street 1:7620 CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-1108
Mailing Address - Country:US
Mailing Address - Phone:727-505-0959
Mailing Address - Fax:
Practice Address - Street 1:7620 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-1108
Practice Address - Country:US
Practice Address - Phone:727-505-0959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-08
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8375101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty