Provider Demographics
NPI:1205660586
Name:CELANI, LENA A
Entity type:Individual
Prefix:
First Name:LENA
Middle Name:A
Last Name:CELANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 E COFFEE ST
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-2905
Mailing Address - Country:US
Mailing Address - Phone:724-493-3488
Mailing Address - Fax:
Practice Address - Street 1:129 E COFFEE ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2905
Practice Address - Country:US
Practice Address - Phone:724-493-3488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-28
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
WV252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator