Provider Demographics
NPI:1407225402
Name:CASTRO, MARIALUZ (LPC, PMH-C)
Entity type:Individual
Prefix:
First Name:MARIALUZ
Middle Name:
Last Name:CASTRO
Suffix:
Gender:F
Credentials:LPC, PMH-C
Other - Prefix:
Other - First Name:MARIALUZ
Other - Middle Name:
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8527 GEREN RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4321
Mailing Address - Country:US
Mailing Address - Phone:202-844-9148
Mailing Address - Fax:
Practice Address - Street 1:7556 8TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1814
Practice Address - Country:US
Practice Address - Phone:202-445-4206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-19
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
DCPRC200001810101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No374J00000XNursing Service Related ProvidersDoula