MEDICARE: AMANDA CASTO

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1215520424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA CASTO

Provider Business Mailing Address
First Line	:	114 MERRIAM AVE # 203
Second Line	:
City	:	LEOMINSTER
State	:	MA
Zip	:	01453-3175
Country	:	US
Telephone Number	:	978-612-6361
Fax Number	:

Provider Business Practice Location Address
First Line	:	114 MERRIAM AVE # 203
Second Line	:
City	:	LEOMINSTER
State	:	MA
Zip	:	01453-3175
Country	:	US
Telephone Number	:	978-612-6361
Fax Number	:

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

Provider Enumeration Date	:	02/18/2021
Last Update Date	:	11/08/2023

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Directions to “ AMANDA CASTO ” Practice Location

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