Provider Demographics
NPI:1265638027
Name:DECASTRO, FRANK WARREN IV (MS,LPC)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:WARREN
Last Name:DECASTRO
Suffix:IV
Gender:M
Credentials:MS,LPC
Other - Prefix:
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Mailing Address - Street 1:8921 HIGH DR
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66206-1932
Mailing Address - Country:US
Mailing Address - Phone:816-523-2200
Mailing Address - Fax:816-523-0770
Practice Address - Street 1:9237 WARD PKWY
Practice Address - Street 2:#105
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-3365
Practice Address - Country:US
Practice Address - Phone:816-523-2200
Practice Address - Fax:816-523-0770
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2000149709101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional