Provider Demographics
NPI:1700509346
Name:CELESTIN, DARLENE
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:CELESTIN
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 1:4611 POYDRAS BAYOU RD
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:LA
Mailing Address - Zip Code:70752-3212
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4611 POYDRAS BAYOU RD
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:LA
Practice Address - Zip Code:70752-3212
Practice Address - Country:US
Practice Address - Phone:225-978-8460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)