Basic Information
| Provider Information | |||||||||
| NPI: | 1003007154 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CASHELL | ||||||||
| FirstName: | HEATHER | ||||||||
| MiddleName: | MAE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 441 DUTCH HILL RD | ||||||||
| Address2: | |||||||||
| City: | HAMILTON | ||||||||
| State: | MT | ||||||||
| PostalCode: | 598409619 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4063812592 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 170 S 2ND ST | ||||||||
| Address2: | STE C | ||||||||
| City: | HAMILTON | ||||||||
| State: | MT | ||||||||
| PostalCode: | 598402561 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4063812592 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2007 | ||||||||
| LastUpdateDate: | 10/21/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 789 | MT | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.