Provider Demographics
NPI:1841816931
Name:CASTLE, NAKITA L (MED, LPCC)
Entity type:Individual
Prefix:
First Name:NAKITA
Middle Name:L
Last Name:CASTLE
Suffix:
Gender:F
Credentials:MED, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 ELM LOOP
Mailing Address - Street 2:
Mailing Address - City:HUSTONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40437-9188
Mailing Address - Country:US
Mailing Address - Phone:859-319-3191
Mailing Address - Fax:
Practice Address - Street 1:401 ADAMS ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-1901
Practice Address - Country:US
Practice Address - Phone:895-475-0234
Practice Address - Fax:866-984-4193
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY262354101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional