Provider Demographics
NPI:1851037097
Name:CAYCO EFFEX, LLC
Entity Type:Organization
Organization Name:CAYCO EFFEX, LLC
Other - Org Name:CONSTANCE ASH, NCC, LPCS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASH
Authorized Official - Suffix:
Authorized Official - Credentials:NCC, LPCS, CCTMHP
Authorized Official - Phone:318-348-9269
Mailing Address - Street 1:700 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71209-9000
Mailing Address - Country:US
Mailing Address - Phone:318-348-9269
Mailing Address - Fax:
Practice Address - Street 1:700 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71209-9000
Practice Address - Country:US
Practice Address - Phone:318-348-9269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-10
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3096030Medicaid
LA1114397601OtherNPPES
LA4497OtherLOUISIANA LPC BOARD