Provider Demographics
NPI:1003352147
Name:CHERIE MCQUAY CASSARA, MARRIAGE & FAMILY THERAPY, INC.
Entity Type:Organization
Organization Name:CHERIE MCQUAY CASSARA, MARRIAGE & FAMILY THERAPY, INC.
Other - Org Name:SIMPLY HORSE SENSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MARRIAGE & FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASSARA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT
Authorized Official - Phone:714-468-2512
Mailing Address - Street 1:20082 KLINE DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-1310
Mailing Address - Country:US
Mailing Address - Phone:714-468-2512
Mailing Address - Fax:
Practice Address - Street 1:23282 MILL CREEK DR
Practice Address - Street 2:220
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1658
Practice Address - Country:US
Practice Address - Phone:714-468-2512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90709106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty