| Tiffany M. Castellanos, Llc | |
|
102 Ashe St Carrboro NC 27510-1706 | |
| (919) 360-1538 | |
| Not Available |
| Full Name | Tiffany M. Castellanos, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 102 Ashe St, Carrboro, North Carolina |
| Authorized Official Name and Position | Tiffany Margaret Castellanos (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9193601538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany M. Castellanos, Llc 102 Ashe St Carrboro NC 27510-1706 Ph: (919) 360-1538 | Tiffany M. Castellanos, Llc 102 Ashe St Carrboro NC 27510-1706 Ph: (919) 360-1538 |
| NPI Number | 1508197229 |
|---|---|
| Provider Enumeration Date | 01/20/2010 |
| Last Update Date | 01/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508197229 | NPI | - | NPPES |
| 6106535 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C005374 (North Carolina) | Primary |
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