Provider Demographics
NPI:1295162360
Name:CELLA, JUDY(JUDITH) ANN (MH 13580)
Entity type:Individual
Prefix:MRS
First Name:JUDY(JUDITH)
Middle Name:ANN
Last Name:CELLA
Suffix:
Gender:F
Credentials:MH 13580
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 VOTAW RD
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-1312
Mailing Address - Country:US
Mailing Address - Phone:407-534-4364
Mailing Address - Fax:
Practice Address - Street 1:2425 S VOLUSIA AVE
Practice Address - Street 2:SUITE B-4
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-7625
Practice Address - Country:US
Practice Address - Phone:407-452-4464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-03
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 13580101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health