Healthcare Provider Details

I. General information

NPI: 1841119476
Provider Name (Legal Business Name): CHELCI MYCHAELA CASTRO LOREDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1824 SAWDUST RD STE A
SPRING TX
77380-3667
US

IV. Provider business mailing address

1913 WARWICK RD
HOUSTON TX
77093-2357
US

V. Phone/Fax

Practice location:
  • Phone: 823-432-1158
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: