Organization · Type 2 NPI

Celeste Lacy License Clinical Social Worker Corporation

Mental Health Counselor · Los Angeles, CA

NPI number 1407717259 Active

Practice location

2019 W 98th St
Los Angeles, CA 90047-4002

Call (213) 610-1024 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407717259

Celeste Lacy License Clinical Social Worker Corporation's National Provider Identifier is 1407717259, issued on Nov 20, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 20, 2025.