Provider Demographics
NPI:1891235545
Name:KATIE CASTELLO COUNSELING
Entity Type:Organization
Organization Name:KATIE CASTELLO COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:CASTELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-905-2421
Mailing Address - Street 1:399 VENTURE DR STE D
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-9520
Mailing Address - Country:US
Mailing Address - Phone:614-905-2421
Mailing Address - Fax:614-259-6061
Practice Address - Street 1:399 VENTURE DR STE D
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-9520
Practice Address - Country:US
Practice Address - Phone:614-905-2421
Practice Address - Fax:614-259-6061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-28
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI. 12015231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty