Healthcare Provider Details

I. General information

NPI: 1518882760
Provider Name (Legal Business Name): ELIZABETH TURNER CASTILLA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 TRINITY DR STE B2
LOS ALAMOS NM
87544-2226
US

IV. Provider business mailing address

47 GRAND CANYON DR
WHITE ROCK NM
87547-3448
US

V. Phone/Fax

Practice location:
  • Phone: 505-412-8360
  • Fax:
Mailing address:
  • Phone: 505-470-9897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCTB-2026-0676
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: