Provider Demographics
NPI:1528847704
Name:MCCASKILL, LAILA MICHAUD (LPC)
Entity type:Individual
Prefix:
First Name:LAILA
Middle Name:MICHAUD
Last Name:MCCASKILL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LAILA
Other - Middle Name:
Other - Last Name:MICHAUD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:248 ADDIE ROY RD STE B105
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-4133
Mailing Address - Country:US
Mailing Address - Phone:214-929-1713
Mailing Address - Fax:
Practice Address - Street 1:248 ADDIE ROY RD STE B105
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-4133
Practice Address - Country:US
Practice Address - Phone:214-929-1713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92711101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional