Provider Demographics
NPI:1811952435
Name:CASTRO, MICHELE ANNETTE (LMHC)
Entity type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:ANNETTE
Last Name:CASTRO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12305-2008
Mailing Address - Country:US
Mailing Address - Phone:518-381-8911
Mailing Address - Fax:
Practice Address - Street 1:NORTHEAST PARENT AND CHILD SOCIETY
Practice Address - Street 2:530 FRANKLIN ST.
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12305-2008
Practice Address - Country:US
Practice Address - Phone:518-381-8911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001723101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health