Provider Demographics
NPI:1205072410
Name:OWENS, CASSANDRA JOY (LPC)
Entity type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:JOY
Last Name:OWENS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4831 PARLIAMENT WAY
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-5033
Mailing Address - Country:US
Mailing Address - Phone:404-493-2112
Mailing Address - Fax:
Practice Address - Street 1:4470 CHAMBLEE DUNWOODY RD
Practice Address - Street 2:SUITE 324
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-6280
Practice Address - Country:US
Practice Address - Phone:404-493-2112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-18
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005132101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional