Provider Demographics
NPI:1467125690
Name:LANCLOS, CELESTE AUDREY SAVOY (LCSW)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:AUDREY SAVOY
Last Name:LANCLOS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 OLD SILO RD
Mailing Address - Street 2:
Mailing Address - City:RAYNE
Mailing Address - State:LA
Mailing Address - Zip Code:70578-2552
Mailing Address - Country:US
Mailing Address - Phone:337-207-0984
Mailing Address - Fax:
Practice Address - Street 1:311 OLD SILO RD
Practice Address - Street 2:
Practice Address - City:RAYNE
Practice Address - State:LA
Practice Address - Zip Code:70578-2552
Practice Address - Country:US
Practice Address - Phone:337-207-0984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-25
Last Update Date:2021-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA118061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical