MEDICARE: JACELINE CELESTIN 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	MT4160	FL

General Provider Information

NPI Number	:	1245875707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACELINE CELESTIN LMFT

Provider Business Mailing Address
First Line	:	801 NORTHPOINT PKWY STE 43
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-1994
Country	:	US
Telephone Number	:	954-574-2743
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 NORTHPOINT PKWY STE 43
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-1994
Country	:	US
Telephone Number	:	954-574-2743
Fax Number	:

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

Provider Enumeration Date	:	11/08/2019
Last Update Date	:	10/10/2025

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