Healthcare Provider Details

I. General information

NPI: 1124818372
Provider Name (Legal Business Name): ALEXIA CASTANEDA LPC ASSOCIATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2025
Last Update Date: 05/10/2025
Certification Date: 05/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E RANDOL MILL RD STE 100
ARLINGTON TX
76011-5800
US

IV. Provider business mailing address

PO BOX 121835
ARLINGTON TX
76012-7835
US

V. Phone/Fax

Practice location:
  • Phone: 855-579-5323
  • Fax:
Mailing address:
  • Phone: 855-579-5323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: