Provider Demographics
NPI:1245629088
Name:RAUL CASTRO DBA GOING BEYOND COUNSELING SERVICES
Entity type:Organization
Organization Name:RAUL CASTRO DBA GOING BEYOND COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-443-4477
Mailing Address - Street 1:3339 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-3817
Mailing Address - Country:US
Mailing Address - Phone:708-443-4477
Mailing Address - Fax:888-223-5281
Practice Address - Street 1:3339 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-3817
Practice Address - Country:US
Practice Address - Phone:708-443-4477
Practice Address - Fax:888-223-5281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-16
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180006165101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty