Provider Demographics
NPI:1336800960
Name:CASTILLO, YESENIA
Entity type:Individual
Prefix:DR
First Name:YESENIA
Middle Name:
Last Name:CASTILLO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11919 MUIR GROVES TRL
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-5221
Mailing Address - Country:US
Mailing Address - Phone:760-792-5350
Mailing Address - Fax:
Practice Address - Street 1:11919 MUIR GROVES TRL
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-5221
Practice Address - Country:US
Practice Address - Phone:760-792-5350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist