Provider Demographics
NPI:1134700149
Name:WEST, CELESTE MARIE (LMFT)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:MARIE
Last Name:WEST
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CELESTE
Other - Middle Name:MARIE
Other - Last Name:KEELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:111 E MAIN ST STE L4
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-2490
Mailing Address - Country:US
Mailing Address - Phone:801-980-3676
Mailing Address - Fax:
Practice Address - Street 1:111 E MAIN ST STE L4
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-2490
Practice Address - Country:US
Practice Address - Phone:801-980-3676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11918898-3904106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist