Provider Demographics
NPI:1093186942
Name:CASTLE, CATHERINE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:CASTLE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69096 POWELL RD
Mailing Address - Street 2:
Mailing Address - City:ARMADA
Mailing Address - State:MI
Mailing Address - Zip Code:48005-4001
Mailing Address - Country:US
Mailing Address - Phone:586-281-0150
Mailing Address - Fax:
Practice Address - Street 1:69096 POWELL RD
Practice Address - Street 2:
Practice Address - City:ARMADA
Practice Address - State:MI
Practice Address - Zip Code:48005-4001
Practice Address - Country:US
Practice Address - Phone:586-281-0150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-16
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014585101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor