Provider Demographics
NPI:1053076430
Name:DEMEO, CELINA (LMHC, BC-DMT)
Entity type:Individual
Prefix:
First Name:CELINA
Middle Name:
Last Name:DEMEO
Suffix:
Gender:F
Credentials:LMHC, BC-DMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 E LAFAYETTE ST STE A
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-4767
Mailing Address - Country:US
Mailing Address - Phone:850-848-9344
Mailing Address - Fax:
Practice Address - Street 1:1331 E LAFAYETTE ST STE A
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-4767
Practice Address - Country:US
Practice Address - Phone:850-848-9344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-01
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH21592101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health