Provider Demographics
NPI:1982179388
Name:CASADY'S COUNSELING
Entity Type:Organization
Organization Name:CASADY'S COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:CASADY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:816-665-2605
Mailing Address - Street 1:8501 E 91ST TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64138-4653
Mailing Address - Country:US
Mailing Address - Phone:816-665-2605
Mailing Address - Fax:
Practice Address - Street 1:1201 NW BRIARCLIFF PKWY STE 200 OFFICE233
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116
Practice Address - Country:US
Practice Address - Phone:816-665-2605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-11
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty