MEDICARE: CELIA JOY MCGREGOR MA, LMHC, 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	101Y00000X	Counselor	APC001563	GA
2	101YM0800X	Mental Health Counselor	MH 10991	FL
3	101YP2500X	Professional Counselor	005820	GA

General Provider Information

NPI Number	:	1538296348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CELIA JOY MCGREGOR MA, LMHC, LPC, NCC

Provider Business Mailing Address
First Line	:	1900 N ESTRELLA CT
Second Line	:	APARTMENT NO. 207
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-5305
Country	:	US
Telephone Number	:	678-575-0496
Fax Number	:

Provider Business Practice Location Address
First Line	:	3307 NORTHLAKE BLVD
Second Line	:	SUITE B104
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33403-1703
Country	:	US
Telephone Number	:	678-575-0496
Fax Number	:

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

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	12/05/2011

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