Provider Demographics
NPI:1689133266
Name:CASTILLO, FIORELLA PAOLA (LMHC)
Entity Type:Individual
Prefix:
First Name:FIORELLA
Middle Name:PAOLA
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 SW 7TH ST STE 2108
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-2962
Mailing Address - Country:US
Mailing Address - Phone:305-908-1115
Mailing Address - Fax:305-735-7631
Practice Address - Street 1:175 SW 7TH ST STE 2108
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-2962
Practice Address - Country:US
Practice Address - Phone:305-908-1115
Practice Address - Fax:305-735-7631
Is Sole Proprietor?:No
Enumeration Date:2019-03-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14668101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health