Provider Demographics
NPI:1295529394
Name:CASTILLO, MONICA (MASTER OF SCIENCE)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:CASTILLO
Suffix:
Gender:
Credentials:MASTER OF SCIENCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4807 SYDNEY HARBOUR CT
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-5004
Mailing Address - Country:US
Mailing Address - Phone:254-245-2298
Mailing Address - Fax:
Practice Address - Street 1:4501 S GENERAL BRUCE DR
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-1469
Practice Address - Country:US
Practice Address - Phone:254-743-0040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-05
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92880101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health