Provider Demographics
NPI:1922676907
Name:CASSIE AHRENS PMHNP LLC
Entity Type:Organization
Organization Name:CASSIE AHRENS PMHNP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CASHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AHRENS
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:804-415-4113
Mailing Address - Street 1:PO BOX 17102
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-7102
Mailing Address - Country:US
Mailing Address - Phone:804-415-4113
Mailing Address - Fax:
Practice Address - Street 1:1900 BYRD AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3033
Practice Address - Country:US
Practice Address - Phone:804-592-6311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-15
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)