Healthcare Provider Details

I. General information

NPI: 1962741009
Provider Name (Legal Business Name): CELESTINE MARIE HOLT PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CELESTINE MARIE HOLT PMHNP

II. Dates (important events)

Enumeration Date: 02/09/2013
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 ASHFIELD LN
SOUTH HADLEY MA
01075-1341
US

IV. Provider business mailing address

30 ASHFIELD LN
SOUTH HADLEY MA
01075-1341
US

V. Phone/Fax

Practice location:
  • Phone: 413-222-9998
  • Fax:
Mailing address:
  • Phone: 413-222-9998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number182841
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: