Provider Demographics
NPI:1497183701
Name:MORIN, CELESTE YVETTE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:CELESTE
Middle Name:YVETTE
Last Name:MORIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 E MAIN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-7902
Mailing Address - Country:US
Mailing Address - Phone:631-332-7294
Mailing Address - Fax:
Practice Address - Street 1:45 PROSPECT RD
Practice Address - Street 2:
Practice Address - City:CENTERPORT
Practice Address - State:NY
Practice Address - Zip Code:11721-1131
Practice Address - Country:US
Practice Address - Phone:631-261-3938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-23
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001290101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health