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General NPI Number Information
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NPI Number | 1639578495
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Entity Type | Individual
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Provider Name | PATRICK CASTHELY LMHC, CAP, CMHP
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Gender | Male
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Dates
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Enumeration Date | 08/18/2014
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 300 SE 2ND ST STE 600
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-1950
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Country | US
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Telephone | 321-831-5777
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Fax |
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Provider Business Mailing Address
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Address Line | 4846 N UNIVERSITY DR # 170
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City | LAUDERHILL
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State | FL
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Zip | 33351-4510
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Country | US
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Telephone | 321-831-5777
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 4667
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH 11708
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 11708
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License Number State | FL
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