Provider Demographics
NPI:1811436942
Name:CASTRO SANCHEZ, MAIRELIS (LMHC)
Entity type:Individual
Prefix:
First Name:MAIRELIS
Middle Name:
Last Name:CASTRO SANCHEZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 SW 137TH AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6399
Mailing Address - Country:US
Mailing Address - Phone:305-459-3207
Mailing Address - Fax:305-459-3210
Practice Address - Street 1:2460 SW 137TH AVE STE 250
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6399
Practice Address - Country:US
Practice Address - Phone:305-459-3207
Practice Address - Fax:305-459-3210
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-22
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
FLMH14850101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020105900Medicaid