Provider Demographics
NPI:1609236587
Name:JUDY CELLA COUNSELING & PSYCHOTHERAPY
Entity Type:Organization
Organization Name:JUDY CELLA COUNSELING & PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CELLA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:407-452-4464
Mailing Address - Street 1:2040 VOTAW RD
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-1312
Mailing Address - Country:US
Mailing Address - Phone:407-534-4364
Mailing Address - Fax:
Practice Address - Street 1:2425 S VOLUSIA AVE
Practice Address - Street 2:SUITE B-4
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-7625
Practice Address - Country:US
Practice Address - Phone:407-452-4464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-04
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 13580101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1295162360OtherNPI SOLE PROVIDER