Provider Demographics
NPI:1003541921
Name:CASHEL, MARTHA LEE
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:LEE
Last Name:CASHEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARTHA
Other - Middle Name:LEE
Other - Last Name:CASHEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1200 WEEPING WILLOW DR APT E
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-3959
Mailing Address - Country:US
Mailing Address - Phone:434-215-8524
Mailing Address - Fax:
Practice Address - Street 1:1621 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-5797
Practice Address - Country:US
Practice Address - Phone:434-376-2006
Practice Address - Fax:434-239-4955
Is Sole Proprietor?:No
Enumeration Date:2022-07-24
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011505101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional