Provider Demographics
NPI:1770825481
Name:HERNANDEZ, ARACELY CASTILLO (LPC, LCDC)
Entity Type:Individual
Prefix:MRS
First Name:ARACELY
Middle Name:CASTILLO
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 CAMPANARIO LN
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78043-5103
Mailing Address - Country:US
Mailing Address - Phone:956-744-2879
Mailing Address - Fax:
Practice Address - Street 1:514 CAMPANARIO LN
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78043-5103
Practice Address - Country:US
Practice Address - Phone:956-744-2879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10932101YA0400X
TX66907101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)