Provider Demographics
NPI:1275363475
Name:CASTRO, TIRZA ARELHY
Entity type:Individual
Prefix:
First Name:TIRZA
Middle Name:ARELHY
Last Name:CASTRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 E OLD WILLOW RD APT 270
Mailing Address - Street 2:
Mailing Address - City:PROSPECT HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60070-2136
Mailing Address - Country:US
Mailing Address - Phone:773-414-7008
Mailing Address - Fax:
Practice Address - Street 1:880 E OLD WILLOW RD APT 270
Practice Address - Street 2:
Practice Address - City:PROSPECT HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60070-2136
Practice Address - Country:US
Practice Address - Phone:773-414-7008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-03
Last Update Date:2024-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical