MEDICARE: CELESTE MARIE WEST LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	11918898-3904	UT

General Provider Information

NPI Number	:	1134700149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CELESTE MARIE WEST LMFT

Provider Business Mailing Address
First Line	:	111 E MAIN ST STE L4
Second Line	:
City	:	LEHI
State	:	UT
Zip	:	84043-2490
Country	:	US
Telephone Number	:	801-980-3676
Fax Number	:

Provider Business Practice Location Address
First Line	:	437 S BLUFF ST STE 302
Second Line	:
City	:	SAINT GEORGE
State	:	UT
Zip	:	84770-3591
Country	:	US
Telephone Number	:	435-634-8848
Fax Number	:	435-634-8884

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2021
Last Update Date	:	05/13/2025

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