Provider Demographics
NPI:1831085794
Name:CELESTIAL PERCEPTIONS COUNSELING AND HOLISITIC CENTER, LLC
Entity type:Organization
Organization Name:CELESTIAL PERCEPTIONS COUNSELING AND HOLISITIC CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:PEPE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:386-265-3267
Mailing Address - Street 1:2712 S ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32118-5702
Mailing Address - Country:US
Mailing Address - Phone:386-265-3267
Mailing Address - Fax:386-265-3267
Practice Address - Street 1:2712 S ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32118-5702
Practice Address - Country:US
Practice Address - Phone:386-265-3267
Practice Address - Fax:386-265-3267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health