Provider Demographics
NPI:1306364989
Name:CELIUS, ANTONIA (MHS)
Entity Type:Individual
Prefix:MS
First Name:ANTONIA
Middle Name:
Last Name:CELIUS
Suffix:
Gender:F
Credentials:MHS
Other - Prefix:MRS
Other - First Name:ANTONIA
Other - Middle Name:IREYON
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3630 MACARTHUR BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-6871
Mailing Address - Country:US
Mailing Address - Phone:504-962-9572
Mailing Address - Fax:
Practice Address - Street 1:3630 MACARTHUR BLVD STE C
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-6871
Practice Address - Country:US
Practice Address - Phone:504-962-9572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health