Provider Demographics
NPI:1760200315
Name:CASTRO, ISABEL VICTORIA (RMHCI)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:VICTORIA
Last Name:CASTRO
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 SW 180TH TER
Mailing Address - Street 2:
Mailing Address - City:SOUTHWEST RANCHES
Mailing Address - State:FL
Mailing Address - Zip Code:33331-1611
Mailing Address - Country:US
Mailing Address - Phone:954-547-9928
Mailing Address - Fax:754-400-9113
Practice Address - Street 1:6201 SW 180TH TER
Practice Address - Street 2:
Practice Address - City:SOUTHWEST RANCHES
Practice Address - State:FL
Practice Address - Zip Code:33331-1611
Practice Address - Country:US
Practice Address - Phone:954-547-9928
Practice Address - Fax:754-400-9113
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL26698101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health