Provider Demographics
NPI:1689214280
Name:LOUIS, KASEY A (MA, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:KASEY
Middle Name:A
Last Name:LOUIS
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1704
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-9107
Mailing Address - Country:US
Mailing Address - Phone:360-528-0035
Mailing Address - Fax:804-451-9078
Practice Address - Street 1:14321 WINTER BREEZE DR STE 43
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-2452
Practice Address - Country:US
Practice Address - Phone:360-528-0035
Practice Address - Fax:804-324-5583
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-10
Last Update Date:2022-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61025518101Y00000X, 101YM0800X, 101YP1600X, 101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty