Healthcare Provider Details

I. General information

NPI: 1447199617
Provider Name (Legal Business Name): CELESTIA ADVANCED PSYCHIATRIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 W RANDOLPH AVE
ENID OK
73701-3828
US

IV. Provider business mailing address

502 W RANDOLPH AVE
ENID OK
73701-3828
US

V. Phone/Fax

Practice location:
  • Phone: 580-340-3624
  • Fax:
Mailing address:
  • Phone: 580-340-3624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. KIMBERLY KAY LANGTON
Title or Position: OWNER
Credential:
Phone: 580-340-3624