Provider Demographics
NPI:1871862433
Name:CELTIC COUNSELING INC.
Entity Type:Organization
Organization Name:CELTIC COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:MCCLOSKEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC, LADC I
Authorized Official - Phone:508-215-9822
Mailing Address - Street 1:579 PLEASANT ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PAXTON
Mailing Address - State:MA
Mailing Address - Zip Code:01612-1307
Mailing Address - Country:US
Mailing Address - Phone:508-215-9822
Mailing Address - Fax:978-257-8307
Practice Address - Street 1:579 PLEASANT ST
Practice Address - Street 2:SUITE 1
Practice Address - City:PAXTON
Practice Address - State:MA
Practice Address - Zip Code:01612-1307
Practice Address - Country:US
Practice Address - Phone:508-215-9822
Practice Address - Fax:978-257-8307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-27
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7710101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty