| Stefani Castro Lcsw Pllc | |
|
9609 Arden Dr Rockwall TX 75087-8790 | |
| (469) 243-9374 | |
| Not Available |
| Full Name | Stefani Castro Lcsw Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9609 Arden Dr, Rockwall, Texas |
| Authorized Official Name and Position | Stefani Kay Castro (OWNER) |
| Authorized Official Contact | 4692439374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stefani Castro Lcsw Pllc 9609 Arden Dr Rockwall TX 75087-8790 Ph: () - | Stefani Castro Lcsw Pllc 9609 Arden Dr Rockwall TX 75087-8790 Ph: (469) 243-9374 |
| NPI Number | 1558120493 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Medicare PECOS PAC ID | 1254772379 |
|---|---|
| Medicare Enrollment ID | O20240507002917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558120493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Stefani K Castro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881042265 PECOS PAC ID: 2769894849 Enrollment ID: I20240507003033 |
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