MEDICARE: THE NURTURE PATH PLLC

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	:	1992657217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE NURTURE PATH PLLC

Provider Business Mailing Address
First Line	:	400 GOLDEN ISLES DR APT 17
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-7505
Country	:	US
Telephone Number	:	678-800-5769
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 GOLDEN ISLES DR APT 17
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-7505
Country	:	US
Telephone Number	:	678-800-5769
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	ANDREA CASTANEDA PLA
Credential	:	MS, LMHC
Telephone Number	:	678-800-5769

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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