Provider Demographics
NPI:1891539219
Name:CASHMAN, LARA (LPCA)
Entity type:Individual
Prefix:
First Name:LARA
Middle Name:
Last Name:CASHMAN
Suffix:
Gender:
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3012 MILLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29205-1807
Mailing Address - Country:US
Mailing Address - Phone:843-621-5404
Mailing Address - Fax:843-353-2460
Practice Address - Street 1:3012 MILLWOOD AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29205-1807
Practice Address - Country:US
Practice Address - Phone:843-621-5404
Practice Address - Fax:843-353-2460
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9022101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional