Provider Demographics
NPI:1780406272
Name:REAGAN, CASEY SWEET (MA, LCMHCA)
Entity type:Individual
Prefix:MRS
First Name:CASEY
Middle Name:SWEET
Last Name:REAGAN
Suffix:
Gender:F
Credentials:MA, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 SPRINGVIEW LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-1869
Mailing Address - Country:US
Mailing Address - Phone:919-357-6467
Mailing Address - Fax:
Practice Address - Street 1:1921 N POINTE DR STE 280
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2689
Practice Address - Country:US
Practice Address - Phone:984-204-1351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA20717101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health