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Organization
RAYMOND CASTILLO, PLLC
Active
Organization
RAYMOND CASTILLO, PLLC
Active
Other names
Living Life Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND CASTILLO LMFTA/LCASA (OWNER/MANAGER)
(954) 865-8055
Entity
Organization
Contact information
Practice address
11020 S TRYON ST STE 408, CHARLOTTE, NC 28273-6662
(980) 236-1660
Mailing address
11020 S TRYON ST STE 408, CHARLOTTE, NC 28273-6662
(980) 236-1660
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
11/19/2022
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