Provider Demographics
NPI:1033588785
Name:CASTLE, ROBERT DARRELL II (LCADC/LPCC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:DARRELL
Last Name:CASTLE
Suffix:II
Gender:M
Credentials:LCADC/LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:AUXIER
Mailing Address - State:KY
Mailing Address - Zip Code:41602-9257
Mailing Address - Country:US
Mailing Address - Phone:606-791-1165
Mailing Address - Fax:
Practice Address - Street 1:104 S FRONT AVE
Practice Address - Street 2:
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-1614
Practice Address - Country:US
Practice Address - Phone:606-886-8572
Practice Address - Fax:606-886-4433
Is Sole Proprietor?:No
Enumeration Date:2015-09-23
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251818101YP2500X
KY174276101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional