Provider Demographics
NPI:1154897403
Name:CUDDEY, CASIE LYNN (LMHC)
Entity type:Individual
Prefix:
First Name:CASIE
Middle Name:LYNN
Last Name:CUDDEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COUNSELING & BEHAVIORAL HEALTH SERVICES
Mailing Address - Street 2:391 MYRTLE AVE STE B
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3835
Mailing Address - Country:US
Mailing Address - Phone:518-262-5401
Mailing Address - Fax:518-262-4450
Practice Address - Street 1:COUNSELING & BEHAVIORAL HEALTH SERVICES
Practice Address - Street 2:391 MYRTLE AVE STE B
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3835
Practice Address - Country:US
Practice Address - Phone:518-262-5401
Practice Address - Fax:518-262-4450
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008766101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health