Healthcare Provider Details

I. General information

NPI: 1710124219
Provider Name (Legal Business Name): BELINDA CASTLE LPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2009
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 FOXGLOVE DR
MT STERLING KY
40353-9769
US

IV. Provider business mailing address

37 N MAYSVILLE ST
MT STERLING KY
40353-1315
US

V. Phone/Fax

Practice location:
  • Phone: 859-498-2135
  • Fax:
Mailing address:
  • Phone: 859-498-9892
  • Fax: 859-498-0316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSYPPR00225268
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number165023
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: