Provider Demographics
NPI:1326584301
Name:MARISOL CASTRO-PECORARO, LICENSED MENTAL HEALTH COUNSELOR, PLLC
Entity Type:Organization
Organization Name:MARISOL CASTRO-PECORARO, LICENSED MENTAL HEALTH COUNSELOR, PLLC
Other - Org Name:ARC MENTAL HEALTH COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARISOL
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO-PECORARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-230-4251
Mailing Address - Street 1:360 S BROADWAY
Mailing Address - Street 2:SUITE 22
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-2097
Mailing Address - Country:US
Mailing Address - Phone:914-230-4251
Mailing Address - Fax:
Practice Address - Street 1:360 S BROADWAY
Practice Address - Street 2:SUITE 22
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-2097
Practice Address - Country:US
Practice Address - Phone:914-230-4251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-13
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty