Healthcare Provider Details

I. General information

NPI: 1023912128
Provider Name (Legal Business Name): HEATHER CASTLE
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7275 KIPLING ST
ARVADA CO
80005-3857
US

IV. Provider business mailing address

2051 ZLATEN DR APT E202
LONGMONT CO
80504-2104
US

V. Phone/Fax

Practice location:
  • Phone: 720-266-4444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0020624
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: