Provider Demographics
NPI:1942955018
Name:BRASFIELD, CASEY NICOLE (MS, LMHCA)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:NICOLE
Last Name:BRASFIELD
Suffix:
Gender:F
Credentials:MS, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 WILLOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-2058
Mailing Address - Country:US
Mailing Address - Phone:765-881-3834
Mailing Address - Fax:
Practice Address - Street 1:121 REYNOLDA VLG STE A
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-5126
Practice Address - Country:US
Practice Address - Phone:336-893-9018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17182101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health