Healthcare Provider Details

I. General information

NPI: 1639460876
Provider Name (Legal Business Name): ENEIDA BELEN CASTRO-RAMOS MENTAL HEALTH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2011
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 EAST AVE BLDG 3911
PENSACOLA FL
32508-5136
US

IV. Provider business mailing address

7633 SMALL PINES ST
MILTON FL
32583-3233
US

V. Phone/Fax

Practice location:
  • Phone: 850-505-7369
  • Fax:
Mailing address:
  • Phone: 757-386-9334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810008364
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number0810008364
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: