Provider Demographics
NPI:1184953366
Name:YOUNGBLOOD, CELESTE SAWAYA (CD(DONA), CBED(CBI))
Entity type:Individual
Prefix:MRS
First Name:CELESTE
Middle Name:SAWAYA
Last Name:YOUNGBLOOD
Suffix:
Gender:F
Credentials:CD(DONA), CBED(CBI)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MILL RACE DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-6904
Mailing Address - Country:US
Mailing Address - Phone:540-665-1630
Mailing Address - Fax:
Practice Address - Street 1:100 MILL RACE DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-6904
Practice Address - Country:US
Practice Address - Phone:540-665-1630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula