Provider Demographics
NPI:1689887895
Name:ROWE, CASSANDRA HAYES (LPC-S)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:HAYES
Last Name:ROWE
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:HAYES
Other - Last Name:BURTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:901 W BARDIN RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-6000
Mailing Address - Country:US
Mailing Address - Phone:682-556-2652
Mailing Address - Fax:866-546-3147
Practice Address - Street 1:901 W BARDIN RD
Practice Address - Street 2:SUITE 103
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-6000
Practice Address - Country:US
Practice Address - Phone:682-556-2652
Practice Address - Fax:866-546-3147
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18630101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163486701Medicaid