Provider Demographics
NPI:1427733070
Name:CASTANEDA, HEIDY (RMHCI, RMFTI)
Entity type:Individual
Prefix:MRS
First Name:HEIDY
Middle Name:
Last Name:CASTANEDA
Suffix:
Gender:F
Credentials:RMHCI, RMFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3218 EVERETT ST
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-6019
Mailing Address - Country:US
Mailing Address - Phone:407-731-9630
Mailing Address - Fax:
Practice Address - Street 1:3218 EVERETT ST
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-6019
Practice Address - Country:US
Practice Address - Phone:407-731-9630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMT3715106H00000X
FLIMH22528101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist