Healthcare Provider Details

I. General information

NPI: 1255260618
Provider Name (Legal Business Name): CELESTIAL COUNSELING & CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 STUBBS AVE STE A
MONROE LA
71201-5579
US

IV. Provider business mailing address

805 STUBBS AVE STE A
MONROE LA
71201-5579
US

V. Phone/Fax

Practice location:
  • Phone: 318-614-4373
  • Fax: 318-325-8749
Mailing address:
  • Phone: 318-614-4373
  • Fax: 318-325-8749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DETRIA SPILLER JENKINS
Title or Position: OWNER
Credential: JENKINS
Phone: 318-614-4373