Healthcare Provider Details

I. General information

NPI: 1720918337
Provider Name (Legal Business Name): CELESTE PACLEB LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5670 APPALACHIAN VW
COLORADO SPRINGS CO
80918-9401
US

IV. Provider business mailing address

5670 APPALACHIAN VW
COLORADO SPRINGS CO
80918-9401
US

V. Phone/Fax

Practice location:
  • Phone: 719-231-5583
  • Fax:
Mailing address:
  • Phone: 719-231-5583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC0023798
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: