Provider Demographics
NPI:1790709772
Name:FERGUSON, CELIA BELL (LMFT)
Entity Type:Individual
Prefix:DR
First Name:CELIA
Middle Name:BELL
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4639 NEWCOM AVE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5131
Mailing Address - Country:US
Mailing Address - Phone:865-558-6464
Mailing Address - Fax:865-558-6464
Practice Address - Street 1:4639 NEWCOM AVE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5131
Practice Address - Country:US
Practice Address - Phone:865-558-6464
Practice Address - Fax:865-558-6464
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000084106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0157243OtherBLUE CROSS BLUE SHIELD
273470000OtherMAGELLAN MIS#