Provider Demographics
NPI:1922490812
Name:CELESTINE, ERIKA K
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:K
Last Name:CELESTINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:K
Other - Last Name:CELESTINE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4232 N SANTA FE AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-8517
Mailing Address - Country:US
Mailing Address - Phone:405-637-8221
Mailing Address - Fax:
Practice Address - Street 1:4232 N SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-8517
Practice Address - Country:US
Practice Address - Phone:405-637-8221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor