Individual
ARIANNA RENEE CELANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 SIMONE WAY, ST AUGUSTINE, FL 32086-7750
(904) 829-1770
Mailing address
500 TUSCAN RESERVE DR UNIT 533, PALM COAST, FL 32164-1823
(630) 901-4865
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
029585003
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029585000
—
FL
05
—
029585003
—
FL
Enumeration date
06/16/2021
Last updated
06/16/2021
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