Provider Demographics
NPI:1043084122
Name:CASTELLANOS, PATRICIA MARIA (LMHC, CHT)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:MARIA
Last Name:CASTELLANOS
Suffix:
Gender:F
Credentials:LMHC, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:264 ALHAMBRA CIR
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5123
Mailing Address - Country:US
Mailing Address - Phone:305-562-3699
Mailing Address - Fax:
Practice Address - Street 1:7600 SW 127TH DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4224
Practice Address - Country:US
Practice Address - Phone:305-562-3699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12455101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health