# CC BEHAVIORAL HEALTH LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CC Behavioral Health LTD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114491834
- **Authorized official:** DR. CORALIE CASTRO PSY.D., LCPC (PRESIDENT)
- **Authorized official phone:** (773) 540-7274

## Contact information

- **Practice address:** 2324 W JOPPA RD STE 130, LUTHERVILLE, MD 21093
- **Practice address phone:** (773) 540-7274
- **Mailing address:** 2324 W JOPPA RD STE 130, LUTHERVILLE, MD 21093-4615
- **Mailing address phone:** (773) 540-7274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |

## Other

- **Enumeration date:** 01/15/2019
- **Last updated:** 01/15/2019