MEDICARE: ANNA MARIA CASTILLO LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	64938	TX

General Provider Information

NPI Number	:	1013217363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA MARIA CASTILLO LPC

Provider Business Mailing Address
First Line	:	3118 CENTER POINT DR STE 3
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-4804
Country	:	US
Telephone Number	:	956-687-8000
Fax Number	:	956-687-8009

Provider Business Practice Location Address
First Line	:	3118 CENTER POINT DR STE 3
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-4804
Country	:	US
Telephone Number	:	956-687-8000
Fax Number	:	956-687-8009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2010
Last Update Date	:	08/17/2022

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Directions to “ ANNA MARIA CASTILLO LPC” Practice Location

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