Gadouas, Cassandra Athena

Gadouas, Cassandra Athena is an sole proprietor health care provider with primary practice located at 5207 Marine Pkwy , New Port Richey FL 34652. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gadouas, Cassandra Athena can be contacted via phone (727) 505-0959.

Contact Information

Primary practice address
5207 Marine Pkwy New Port Richey FL 34652
Phone: (727) 505-0959
Fax: (727) 863-1343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH8375 Florida

Profile Details

NPI number 1619032299
LBN Legal business name Gadouas, Cassandra Athena
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2006
Last updated Sep 26th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619032299 NPPES
Florida MEDICAID 006082200
Florida Other 11873080

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