Doctor Name: | HEIDI CASTANEDA |
NPI Number: | 1164714739 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC006056 |
Business Practice Address: | 5041 Dallas Hwy Suite 402 Powder Springs, GA - 301276458 |
Business Phone Number: | 6783545594 |
Business Fax Number: | |
Mailing Address: | 5041 Dallas Hwy, Suite 402 POWDER SPRINGS |
State: | GA |
Postal Code: | 301276458 |
Phone Number: | 6783545594 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2011 |
NPI Last Update Date: | 05/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC006056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |