Provider Demographics
NPI:1356730618
Name:MCAMIS, CASSIE MICHELLE (MED)
Entity type:Individual
Prefix:MRS
First Name:CASSIE
Middle Name:MICHELLE
Last Name:MCAMIS
Suffix:
Gender:F
Credentials:MED
Other - Prefix:MS
Other - First Name:CASSIE
Other - Middle Name:MICHELLE
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:301 S PERIMETER PARK DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4143
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:424 E BERNARD AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-5170
Practice Address - Country:US
Practice Address - Phone:423-823-3004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health