Provider Demographics
NPI:1932386943
Name:O'BRIANT, CELIA P (MED)
Entity Type:Individual
Prefix:
First Name:CELIA
Middle Name:P
Last Name:O'BRIANT
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2256
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-2256
Mailing Address - Country:US
Mailing Address - Phone:828-674-3010
Mailing Address - Fax:336-868-4070
Practice Address - Street 1:2711 PINEDALE RD STE D
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-4706
Practice Address - Country:US
Practice Address - Phone:336-402-3010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15223101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor