MEDICARE: CELESTE LOTT M.S., LPC, NCC

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	101YP2500X	Professional Counselor	77752	TX

General Provider Information

NPI Number	:	1396306619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CELESTE LOTT M.S., LPC, NCC

Provider Business Mailing Address
First Line	:	4502 RIVERSTONE BLVD STE 702
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5210
Country	:	US
Telephone Number	:	281-900-6243
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 NORTH LOOP W STE 935
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-4716
Country	:	US
Telephone Number	:	832-233-3086
Fax Number	:

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

Provider Enumeration Date	:	06/26/2019
Last Update Date	:	08/22/2022

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