Healthcare Provider Details

I. General information

NPI: 1962332593
Provider Name (Legal Business Name): GABRIELLE CASTELLI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 CATHERINE CT
CEDAR GROVE NJ
07009-1946
US

IV. Provider business mailing address

28 CATHERINE CT
CEDAR GROVE NJ
07009-1946
US

V. Phone/Fax

Practice location:
  • Phone: 973-980-3486
  • Fax:
Mailing address:
  • Phone: 973-980-3486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37AC00948200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: