Provider Demographics
NPI:1700863776
Name:WESTMORELAND, CECELIA B (LPC, LCAS)
Entity Type:Individual
Prefix:
First Name:CECELIA
Middle Name:B
Last Name:WESTMORELAND
Suffix:
Gender:F
Credentials:LPC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 TOBACCOVILLE RD
Mailing Address - Street 2:
Mailing Address - City:TOBACCOVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27050-9580
Mailing Address - Country:US
Mailing Address - Phone:336-749-6214
Mailing Address - Fax:
Practice Address - Street 1:8 W 3RD ST
Practice Address - Street 2:SUITE 100
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-3923
Practice Address - Country:US
Practice Address - Phone:336-749-6214
Practice Address - Fax:336-231-6654
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC67101YA0400X
NC2715101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103154Medicaid