Healthcare Provider Details

I. General information

NPI: 1356404941
Provider Name (Legal Business Name): CELESTE ANN MULLEN LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 N FORGE ST
AKRON OH
44304-1317
US

IV. Provider business mailing address

485 CRESTMONT CT APT E
COPLEY OH
44321-2943
US

V. Phone/Fax

Practice location:
  • Phone: 330-762-0591
  • Fax:
Mailing address:
  • Phone: 330-730-9134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC-0500651
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.0500651-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: