Provider Demographics
NPI:1578122032
Name:CAHILL, DENISE MARIE (CASAC-T)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:CAHILL
Suffix:
Gender:F
Credentials:CASAC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175-15 ROCKAWAY BLVD.
Mailing Address - Street 2:
Mailing Address - City:JANAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434
Mailing Address - Country:US
Mailing Address - Phone:718-632-3275
Mailing Address - Fax:
Practice Address - Street 1:175-15 ROCKAWAY BLVD.
Practice Address - Street 2:
Practice Address - City:JANAICA
Practice Address - State:NY
Practice Address - Zip Code:11434
Practice Address - Country:US
Practice Address - Phone:718-632-3275
Practice Address - Fax:718-632-7952
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-10
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)