Healthcare Provider Details
I. General information
NPI: 1427733070
Provider Name (Legal Business Name): HEIDY CASTANEDA RMHCI, RMFTI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/21/2023
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
465 MAITLAND AVE STE 7
ALTAMONTE SPRINGS FL
32701-5444
US
IV. Provider business mailing address
3218 EVERETT ST
APOPKA FL
32703-6019
US
V. Phone/Fax
- Phone: 407-212-7508
- Fax:
- Phone: 407-731-9630
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | IMT3715 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | IMH22528 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: