Provider Demographics
NPI:1548474919
Name:KASTEN, LAWRENCE (MA, LMHC)
Entity type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:
Last Name:KASTEN
Suffix:
Gender:M
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 ALLENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11023-2336
Mailing Address - Country:US
Mailing Address - Phone:516-466-8954
Mailing Address - Fax:
Practice Address - Street 1:131 ALLENWOOD RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11023-2336
Practice Address - Country:US
Practice Address - Phone:516-466-8954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002685101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY002685OtherMENTAL HEALTH COUNSELING