Provider Demographics
NPI:1679379184
Name:KASSEWITZ, LAURI (LMHC)
Entity type:Individual
Prefix:MS
First Name:LAURI
Middle Name:
Last Name:KASSEWITZ
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6307 ALLISON RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4505
Mailing Address - Country:US
Mailing Address - Phone:786-290-5233
Mailing Address - Fax:
Practice Address - Street 1:601 NE 107TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-7165
Practice Address - Country:US
Practice Address - Phone:786-290-5233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health