Healthcare Provider Details

I. General information

NPI: 1104733542
Provider Name (Legal Business Name): ANDRES FELIPE CELIS ARIAS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 LINCOLN AVE
BELLEVUE PA
15202-3948
US

IV. Provider business mailing address

36 LINCOLN AVE
BELLEVUE PA
15202-3948
US

V. Phone/Fax

Practice location:
  • Phone: 720-388-4573
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: