Provider Demographics
NPI:1720488562
Name:FELLER, CELIA LYNN (SOCIAL WORKER, LMSW)
Entity Type:Individual
Prefix:MISS
First Name:CELIA
Middle Name:LYNN
Last Name:FELLER
Suffix:
Gender:F
Credentials:SOCIAL WORKER, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 WHIPPOORWILL RD
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-5832
Mailing Address - Country:US
Mailing Address - Phone:804-503-1821
Mailing Address - Fax:
Practice Address - Street 1:1901 VETERANS MEMORIAL DR.
Practice Address - Street 2:CENTRAL TEXAS VETERAN HEALTH CARE SYSTEM
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504
Practice Address - Country:US
Practice Address - Phone:254-778-4811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59056104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker