Provider Demographics
NPI:1215116314
Name:CASCIO, EMILY B (LPC)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:B
Last Name:CASCIO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 SOUTHFIELD RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-4130
Mailing Address - Country:US
Mailing Address - Phone:318-861-0862
Mailing Address - Fax:318-861-0864
Practice Address - Street 1:321 SOUTHFIELD RD
Practice Address - Street 2:SUITE 104
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-4130
Practice Address - Country:US
Practice Address - Phone:318-861-0862
Practice Address - Fax:318-861-0864
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3400101YP2500X
LA1108133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered