Provider Demographics
NPI:1841888377
Name:CASTLE COUNSELING CENTER LLC
Entity type:Organization
Organization Name:CASTLE COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:228-471-3140
Mailing Address - Street 1:PO BOX 4163
Mailing Address - Street 2:
Mailing Address - City:BAY SAINT LOUIS
Mailing Address - State:MS
Mailing Address - Zip Code:39521-4163
Mailing Address - Country:US
Mailing Address - Phone:228-218-6519
Mailing Address - Fax:
Practice Address - Street 1:1000 KILN DELISLE RD UNIT D
Practice Address - Street 2:
Practice Address - City:PASS CHRISTIAN
Practice Address - State:MS
Practice Address - Zip Code:39571-9701
Practice Address - Country:US
Practice Address - Phone:228-218-6519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty