Healthcare Provider Details

I. General information

NPI: 1184178030
Provider Name (Legal Business Name): CELESTE A TURNER MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CELESTE HENDERSON MSW, LCSW

II. Dates (important events)

Enumeration Date: 08/09/2016
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13360 COURSEY BLVD STE B
BATON ROUGE LA
70816-5025
US

IV. Provider business mailing address

PO BOX 752003
LAS VEGAS NV
89136-2003
US

V. Phone/Fax

Practice location:
  • Phone: 833-575-4012
  • Fax: 702-406-6066
Mailing address:
  • Phone: 702-405-8088
  • Fax: 702-405-6066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number9467-C
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: