MRS. CASSIE LYNN ROSENBAUM LAC
NPI 1760900419
Counselor - Mental Health in Little Rock, AR
Active since September 01, 2017
About Mrs. Cassie Lynn Rosenbaum Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CASSIE LYNN ROSENBAUM LAC (NPI 1760900419) is an individual mental health provider in Little Rock, Arkansas, licensed in Arkansas (A1707239) and active in the NPI registry since September 2017.
NPPES Registry Identity
NPI1760900419
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. CASSIE LYNN ROSENBAUMCredential: LAC
Location Address12921 CANTRELL RD STE 105Little Rock, AR 72223-1798
Mailing Address12921 Cantrell Rd Ste 105Little Rock, AR 72223-1798
Phone(501) 891-5492
Sole ProprietorNo
Enumeration DateSeptember 1, 2017
Last NPPES UpdateSeptember 11, 20192 updates tracked since enumeration
✔ NPI 1760900419 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AR · A1707239
12921 CANTRELL RD STE 105, Little Rock, AR 72223
Other Names 1
Former Name (1)Cassie Cobb
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Social Worker (Clinical)
12921 CANTRELL RD STE 105
LITTLE ROCK, AR 72223
LITTLE ROCK, AR 72223
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760900419, enumerated as an "individual" on September 01, 2017.
The provider is located at 12921 CANTRELL RD STE 105 LITTLE ROCK, AR 72223 and the phone number is (501) 891-5492.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.