Provider Demographics
NPI:1932440799
Name:MCCASKILL, RICHARD SHANE (LPC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:SHANE
Last Name:MCCASKILL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 OUACHITA AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-5165
Mailing Address - Country:US
Mailing Address - Phone:501-701-4027
Mailing Address - Fax:501-299-2095
Practice Address - Street 1:100 RIDGEWAY ST STE 5
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901
Practice Address - Country:US
Practice Address - Phone:501-318-6066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-04
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1802012101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional