Provider Demographics
NPI:1891935243
Name:DELCASTILLO, TERESA C (LMSW, LMFT)
Entity Type:Individual
Prefix:MS
First Name:TERESA
Middle Name:C
Last Name:DELCASTILLO
Suffix:
Gender:F
Credentials:LMSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3203 HOLLY THICKET DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4258
Mailing Address - Country:US
Mailing Address - Phone:832-721-6842
Mailing Address - Fax:
Practice Address - Street 1:2600 S. GESSNER ROAD
Practice Address - Street 2:SUITE 314
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063
Practice Address - Country:US
Practice Address - Phone:832-721-6842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX047711041C0700X
TX2696106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist