Castleberry, Delissa L

Castleberry, Delissa L is an sole proprietor health care provider with primary practice located at 7112 Home Of Grace Dr , Gautier MS 39553-2728. She recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Castleberry, Delissa L can be contacted via phone (228) 497-1312.

Contact Information

Primary practice address
7112 Home Of Grace Dr Gautier MS 39553-2728
Phone: (228) 497-1312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X Mississippi
Behavioral Health & Social Service Providers / Counselor 101Y00000X 1412 Mississippi
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Mississippi
Behavioral Health & Social Service Providers / Professional 101YP2500X 1412 Mississippi

Profile Details

NPI number 1437773546
LBN Legal business name Castleberry, Delissa L
Credentials LPC, CADCII
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2020
Last updated Jun 4th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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