Ashley Castro Counseling Llc | |
5242 Plainfield Ave Ne Ste C Grand Rapids MI 49525-1084 | |
(269) 806-9971 | |
Not Available |
Full Name | Ashley Castro Counseling Llc |
---|---|
Speciality | Social Worker |
Location | 5242 Plainfield Ave Ne Ste C, Grand Rapids, Michigan |
Authorized Official Name and Position | Ashley Castro (OWNER/THERAPIST) |
Authorized Official Contact | 2698069971 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ashley Castro Counseling Llc 13837 Myers Lake Ave Ne Cedar Springs MI 49319-9545 Ph: (269) 806-9971 | Ashley Castro Counseling Llc 5242 Plainfield Ave Ne Ste C Grand Rapids MI 49525-1084 Ph: (269) 806-9971 |
NPI Number | 1396458576 |
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Provider Enumeration Date | 01/03/2023 |
Last Update Date | 01/03/2023 |
Certification Date | 01/03/2023 |
Medicare PECOS PAC ID | 9537531850 |
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Medicare Enrollment ID | O20230215001981 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396458576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Ashley Kristin Castro |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821465790 PECOS PAC ID: 6204143688 Enrollment ID: I20150917000341 |
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