Provider Demographics
NPI:1437879806
Name:GALMICHE, CASSIE M (MED, NCC, PLPC)
Entity Type:Individual
Prefix:
First Name:CASSIE
Middle Name:M
Last Name:GALMICHE
Suffix:
Gender:F
Credentials:MED, NCC, PLPC
Other - Prefix:
Other - First Name:CASSIE
Other - Middle Name:
Other - Last Name:DACE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:462 N TAYLOR AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-1856
Mailing Address - Country:US
Mailing Address - Phone:314-489-8773
Mailing Address - Fax:
Practice Address - Street 1:462 N TAYLOR AVE STE 202
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-1856
Practice Address - Country:US
Practice Address - Phone:314-489-8773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021051228101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health