Provider Demographics
NPI:1326703596
Name:CLINE, CASEY (MS, LPC, LCAT, ATR-B)
Entity Type:Individual
Prefix:MS
First Name:CASEY
Middle Name:
Last Name:CLINE
Suffix:
Gender:F
Credentials:MS, LPC, LCAT, ATR-B
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 ARTHURDALE DR
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29170-1264
Mailing Address - Country:US
Mailing Address - Phone:585-305-9544
Mailing Address - Fax:
Practice Address - Street 1:1105 BELLEVIEW ST STE 103
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-1839
Practice Address - Country:US
Practice Address - Phone:803-563-6739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health