Healthcare Provider Details

I. General information

NPI: 1265813182
Provider Name (Legal Business Name): MARIA TERESA CASTILLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2015
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 NE 160TH ST
NORTH MIAMI BEACH FL
33162-4326
US

IV. Provider business mailing address

225 NE 160TH ST
NORTH MIAMI BEACH FL
33162-4326
US

V. Phone/Fax

Practice location:
  • Phone: 786-975-7730
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-89644
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH16425
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: