Provider Demographics
NPI:1407918923
Name:CELENTANO, JOSEPH PHILIP (LMHC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:PHILIP
Last Name:CELENTANO
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TRAPPER LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-5230
Mailing Address - Country:US
Mailing Address - Phone:516-622-2312
Mailing Address - Fax:
Practice Address - Street 1:1 TRAPPER LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-5230
Practice Address - Country:US
Practice Address - Phone:516-622-2312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000717101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health