Provider Demographics
NPI:1134361587
Name:KANE, KASY WILLIE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:KASY
Middle Name:WILLIE
Last Name:KANE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KASY
Other - Middle Name:WILLIE
Other - Last Name:SILVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, CAAP
Mailing Address - Street 1:310 SOUTH OSPREY AVENUE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-6826
Mailing Address - Country:US
Mailing Address - Phone:941-954-5057
Mailing Address - Fax:
Practice Address - Street 1:310 SOUTH OSPREY AVENUE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236
Practice Address - Country:US
Practice Address - Phone:941-954-5057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4023101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health