# CELESTIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841616398
- **Authorized official:** CORTNIE WELLMAN (MANAGER/MEMBER)
- **Authorized official phone:** (936) 582-1112

## Contact information

- **Practice address:** 123 BLUE HERON DR, STE 201, MONTGOMERY, TX 77316-3192
- **Practice address phone:** (936) 582-1112
- **Practice address fax:** (936) 582-1151
- **Mailing address:** 123 BLUE HERON DR, STE 201, MONTGOMERY, TX 77316-3192
- **Mailing address phone:** (936) 202-2849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1000226 | TX | Yes |

## Other

- **Enumeration date:** 03/07/2014
- **Last updated:** 01/12/2017