MEDICARE: CELIA ARJONA TATMAN LCMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	14192	NC

General Provider Information

NPI Number	:	1881108421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CELIA ARJONA TATMAN LCMHC

Provider Business Mailing Address
First Line	:	10755 SW WATERWAY LN
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34987-2162
Country	:	US
Telephone Number	:	954-658-1145
Fax Number	:

Provider Business Practice Location Address
First Line	:	1860 SW FOUNTAINVIEW BLVD STE 100
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34986-4528
Country	:	US
Telephone Number	:	704-815-6692
Fax Number	:	954-252-3720

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2017
Last Update Date	:	05/08/2026

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