Larry David Cassady, MHE
Individual provider Active NPI Mental Health Counselor · Burkesville, KY
NPI 1720118623 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720118623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 390 Keene Street
Burkesville, KY 42717 - Phone
- (270) 864-5631
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
390 Keene Street
Burkesville, KY 42717
Mailing address
259 Parkers Mill Rd
Somerset, KY 42501-3152
Other providers in Burkesville, KY
- Cecelia Dawn Bunch
- Burkesville Medical Supply, Inc
- Capps Pharmacy Inc
- Capps Pharmacy Inc
- Mark Anthony Capps
- Natalie Frances Craft
- Cumberland Adult Day Health Care Center
- Cumberland County Board of Education
- Cumberland County Hospital Association Inc
- Cumberland County Hospital Association Inc
All providers in Burkesville, KY · Mental Health Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.