Provider Demographics
NPI:1699384149
Name:KL GASH & ASSOCIATES LLC
Entity Type:Organization
Organization Name:KL GASH & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KENYUATIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GASH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:757-344-3848
Mailing Address - Street 1:5336 GEORGE WASHINGTON MEM HWY STE E1
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23692-2501
Mailing Address - Country:US
Mailing Address - Phone:757-344-3848
Mailing Address - Fax:718-732-2106
Practice Address - Street 1:12 MUSKET LN
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-5345
Practice Address - Country:US
Practice Address - Phone:412-401-9707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty