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General NPI Number Information
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NPI Number | 1558975250
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Entity Type | Organization
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Legal Business Name | CASTILLE COUNSELING AND CONSULTING
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Dates
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Enumeration Date | 09/01/2020
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 1 CHASE CORPORATE DR STE 400
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City | HOOVER
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State | AL
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Zip | 35244-7001
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Country | US
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Telephone | 205-612-7023
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Fax |
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Provider Business Mailing Address
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Address Line | 636 THE HEIGHTS LN
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City | CALERA
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State | AL
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Zip | 35040-7615
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Country | US
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Telephone | 205-612-7023
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MRS. LEAH CASTILLE
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Credential | LICSW, PIP
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Telephone | 205-612-7023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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