Provider Demographics
NPI:1831959410
Name:MARIA E. CASTELLANO-HSIA MARRIAGE FAMILY THERAPIST,PC
Entity type:Organization
Organization Name:MARIA E. CASTELLANO-HSIA MARRIAGE FAMILY THERAPIST,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:CASTELLANO-HSIA
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:805-519-7590
Mailing Address - Street 1:133 SEARIDGE CT
Mailing Address - Street 2:
Mailing Address - City:PISMO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93449-1607
Mailing Address - Country:US
Mailing Address - Phone:805-519-7590
Mailing Address - Fax:
Practice Address - Street 1:1305 MARSH ST STE 105
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-3315
Practice Address - Country:US
Practice Address - Phone:805-519-7590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-20
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty