Provider Demographics
NPI:1467573501
Name:CASTEEL, TROY S (LPC)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:S
Last Name:CASTEEL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 E REDWOOD ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-5138
Mailing Address - Country:US
Mailing Address - Phone:417-830-8602
Mailing Address - Fax:
Practice Address - Street 1:604 S PICKWICK AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65802-3339
Practice Address - Country:US
Practice Address - Phone:417-831-7999
Practice Address - Fax:417-831-7989
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCS001744101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional