Provider Demographics
NPI:1467843763
Name:CASEY, JAMES PATRICK (LADAC II, QCS)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PATRICK
Last Name:CASEY
Suffix:
Gender:M
Credentials:LADAC II, QCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:120 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3205
Mailing Address - Country:US
Mailing Address - Phone:317-605-5208
Mailing Address - Fax:
Practice Address - Street 1:176 CUDE LN
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-2202
Practice Address - Country:US
Practice Address - Phone:615-281-6757
Practice Address - Fax:615-281-6753
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-09
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1209101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)