Marisa Lisette Castro | Atlanta, GA • PECOS Search

Marisa Lisette Castro

Counselor

Behavioral Health & Social Service Providers

3520 Piedmont Rd NE Ste 330, Atlanta, GA 30305-1552

PECOS Enrollment

Based on the most recent information from CMS, provider Marisa Lisette Castro does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1750020442
Provider Type
Individual
Full Name
Castro, Marisa Lisette
Credential
APC

Gender
Female
Sole Proprietor
No
Enumeration Date
6/1/2022
Last Updated
6/1/2022

Contact Information

Practice Location

3520 Piedmont Rd NE Ste 330, Atlanta, GA 30305-1552

Unlisted Fax

Mailing Location

3520 Piedmont Rd NE Ste 330, Atlanta, GA 30305-1552

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License APC008514 Georgia