Organization
NICSAM BEHAVIORAL HEALTH
Active
Other names
The self love clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA FABIOLA CASTILLO LCSW (PSYCHOTHERAPIST)
(915) 474-7068
Entity
Organization
Contact information
Practice address
6057 STONE WASH ST, EL PASO, TX 79932-2147
(915) 257-9189
Mailing address
6057 STONE WASH ST, EL PASO, TX 79932-2147
(915) 257-9189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
03/22/2026
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