Organization Name: | CASTLEBROOK COUNSELING INC |
NPI Number: | 1538383906 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WANDA TAYLOR (COUNSELOR) |
Mailing Address: | 18311 Wisconsin St Robertsdale |
State: | AL US |
Postal Code: | 365671382 |
Phone Number: | 2519476260 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2116 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |