Provider Demographics
NPI:1659061646
Name:CUEVAS, CASSEY MARIE (PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:CASSEY
Middle Name:MARIE
Last Name:CUEVAS
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:150 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-4304
Mailing Address - Country:US
Mailing Address - Phone:800-539-4228
Mailing Address - Fax:904-209-6288
Practice Address - Street 1:1880 SAN SEBASTIAN VW STE 4201
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32084-8684
Practice Address - Country:US
Practice Address - Phone:800-539-4228
Practice Address - Fax:904-209-6288
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-11
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11036187363LP0808X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health