Provider Demographics
NPI:1740844125
Name:KASHUR COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:KASHUR COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRITTANNY
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:BAUM
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:304-279-8220
Mailing Address - Street 1:142 N QUEEN ST STE 211
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-3312
Mailing Address - Country:US
Mailing Address - Phone:304-270-8220
Mailing Address - Fax:
Practice Address - Street 1:142 N QUEEN ST STE 211
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-3312
Practice Address - Country:US
Practice Address - Phone:304-279-8220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health