Healthcare Provider Details

I. General information

NPI: 1407225402
Provider Name (Legal Business Name): MARIALUZ CASTRO LPC, PMH-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIALUZ JOHNSON

II. Dates (important events)

Enumeration Date: 09/19/2015
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7556 8TH ST NW
WASHINGTON DC
20012-1814
US

IV. Provider business mailing address

8527 GEREN RD
SILVER SPRING MD
20901-4321
US

V. Phone/Fax

Practice location:
  • Phone: 202-445-4206
  • Fax:
Mailing address:
  • Phone: 202-844-9148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPRC200001810
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: