Provider Demographics
NPI:1487222899
Name:ENLIGHTENMENT FAMILY COUNSELING
Entity Type:Organization
Organization Name:ENLIGHTENMENT FAMILY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GERARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW84947
Authorized Official - Phone:559-308-6051
Mailing Address - Street 1:2718 W PORTER AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-8021
Mailing Address - Country:US
Mailing Address - Phone:559-308-6051
Mailing Address - Fax:
Practice Address - Street 1:2333 W WHITENDALE AVE STE D
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-8701
Practice Address - Country:US
Practice Address - Phone:559-329-0778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-12
Last Update Date:2021-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty