Provider Demographics
NPI:1427368257
Name:CASTILE, CHRISTY JANNELL (MHPP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:JANNELL
Last Name:CASTILE
Suffix:
Gender:F
Credentials:MHPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34011 HIGHWAY 300
Mailing Address - Street 2:
Mailing Address - City:BIGELOW
Mailing Address - State:AR
Mailing Address - Zip Code:72016-5200
Mailing Address - Country:US
Mailing Address - Phone:501-330-1225
Mailing Address - Fax:
Practice Address - Street 1:34011 HIGHWAY 300
Practice Address - Street 2:
Practice Address - City:BIGELOW
Practice Address - State:AR
Practice Address - Zip Code:72016-5200
Practice Address - Country:US
Practice Address - Phone:501-330-1225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator