Provider Demographics
NPI:1952810749
Name:CASTRO ROBINSON, LIZA YASMIRA (MHCI)
Entity Type:Individual
Prefix:
First Name:LIZA
Middle Name:YASMIRA
Last Name:CASTRO ROBINSON
Suffix:
Gender:F
Credentials:MHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 NW 1ST ST
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33993-2412
Mailing Address - Country:US
Mailing Address - Phone:201-401-4327
Mailing Address - Fax:
Practice Address - Street 1:45 NW 8TH ST STE 105
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4452
Practice Address - Country:US
Practice Address - Phone:305-246-0210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-25
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor