Provider Demographics
NPI:1114398583
Name:FARIA, CELY ALFINI (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:CELY
Middle Name:ALFINI
Last Name:FARIA
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12326 OLD GUNPOWDER SPUR RD
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1072
Mailing Address - Country:US
Mailing Address - Phone:301-675-1313
Mailing Address - Fax:301-593-6648
Practice Address - Street 1:12326 OLD GUNPOWDER SPUR RD
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-1072
Practice Address - Country:US
Practice Address - Phone:301-675-1313
Practice Address - Fax:301-593-6648
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-12
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCPC6639101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional