Provider Demographics
NPI:1700232519
Name:PRASAD, KASHMITA LEELA (LMFT, LPCC)
Entity Type:Individual
Prefix:
First Name:KASHMITA
Middle Name:LEELA
Last Name:PRASAD
Suffix:
Gender:F
Credentials:LMFT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28550 COLERIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-5822
Mailing Address - Country:US
Mailing Address - Phone:415-937-7261
Mailing Address - Fax:
Practice Address - Street 1:28550 COLERIDGE AVE
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-5822
Practice Address - Country:US
Practice Address - Phone:415-937-7261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-11
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA131487106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist