Healthcare Provider Details

I. General information

NPI: 1356135305
Provider Name (Legal Business Name): CELESTE OPRIS PHD LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/07/2025
Certification Date: 04/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

398 CAMINO GARDENS BLVD STE 108
BOCA RATON FL
33432-5827
US

IV. Provider business mailing address

398 CAMINO GARDENS BLVD STE 108
BOCA RATON FL
33432-5827
US

V. Phone/Fax

Practice location:
  • Phone: 561-485-4633
  • Fax:
Mailing address:
  • Phone: 561-485-4633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT3047
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: