Healthcare Provider Details

I. General information

NPI: 1275836793
Provider Name (Legal Business Name): FRANCISCO CASTILLO LPC/LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2010
Last Update Date: 05/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6028 SURETY DR
EL PASO TX
79905
US

IV. Provider business mailing address

6028 SURETY DR
EL PASO TX
79905-2018
US

V. Phone/Fax

Practice location:
  • Phone: 915-544-3500
  • Fax: 915-532-4433
Mailing address:
  • Phone: 915-544-3500
  • Fax: 915-532-4433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1246
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number07996
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: