Organization
CELESTE LACY LICENSE CLINICAL SOCIAL WORKER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTE LACY LCSW (LICENSED CLINICAL SOCIAL WORKER)
(213) 610-1024
Entity
Organization
Contact information
Practice address
2019 W 98TH ST, LOS ANGELES, CA 90047-4002
(213) 610-1024
Mailing address
2019 W 98TH ST, LOS ANGELES, CA 90047-4002
(213) 610-1024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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