| Organization Name: | SAND CASTLE COUNSELING SERVICES |
| NPI Number: | 1033446851 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HATTIE CARROLL-RATLIFF (OWNER) |
| Mailing Address: | 1155 Route 73 Ste 12 Mount Laurel |
| State: | NJ US |
| Postal Code: | 080542352 |
| Phone Number: | 8567450238 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2009 |
| NPI Last Update Date: | 11/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00360300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |