Healthcare Provider Details

I. General information

NPI: 1396465498
Provider Name (Legal Business Name): LAURAN CASTANIA LPC, LCDC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4605 COUNTY ROAD 805F
CLEBURNE TX
76031-7936
US

IV. Provider business mailing address

4605 COUNTY ROAD 805F
CLEBURNE TX
76031-7936
US

V. Phone/Fax

Practice location:
  • Phone: 817-999-1596
  • Fax:
Mailing address:
  • Phone: 817-999-1596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number89437
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number16659
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: