Provider Demographics
NPI:1538296348
Name:MCGREGOR, CELIA JOY (MA, LMHC, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:CELIA
Middle Name:JOY
Last Name:MCGREGOR
Suffix:
Gender:F
Credentials:MA, LMHC, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 N ESTRELLA CT
Mailing Address - Street 2:APARTMENT NO. 207
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-5305
Mailing Address - Country:US
Mailing Address - Phone:678-575-0496
Mailing Address - Fax:
Practice Address - Street 1:3307 NORTHLAKE BLVD
Practice Address - Street 2:SUITE B104
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33403-1703
Practice Address - Country:US
Practice Address - Phone:678-575-0496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC001563101Y00000X
FLMH 10991101YM0800X
GA005820101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional