Provider Demographics
NPI:1639578495
Name:CASTHELY, PATRICK (LMHC, CAP, CMHP)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:CASTHELY
Suffix:
Gender:M
Credentials:LMHC, CAP, CMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4846 N UNIVERSITY DR # 170
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33351-4510
Mailing Address - Country:US
Mailing Address - Phone:321-831-5777
Mailing Address - Fax:
Practice Address - Street 1:300 SE 2ND ST STE 600
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-1950
Practice Address - Country:US
Practice Address - Phone:321-831-5777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-18
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4667101YA0400X
FLMH 11708101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional