Provider Demographics
NPI:1477758068
Name:CASLEY, DENISE FAYE (LPC)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:FAYE
Last Name:CASLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:FAYE
Other - Middle Name:DENISE
Other - Last Name:CASLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:1109 OLD EBENEZER RD APT F
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-8083
Mailing Address - Country:US
Mailing Address - Phone:843-610-8674
Mailing Address - Fax:
Practice Address - Street 1:1109 OLD EBENEZER RD APT F
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-8083
Practice Address - Country:US
Practice Address - Phone:843-610-8674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4920101YP2500X
NC9892101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional