Celia Destefanis

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI 1487467932 · NPPES record last updated Jan 29, 2025

Key facts

NPI
1487467932
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
3622 Prospect Ave E
Cleveland, OH 44115-2704
Phone
(216) 431-4600
NPI assigned
Jan 29, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Counseling & Mediation Services, Inc. Addiction (Substance Use Disorder) Past
since Feb 2, 2025
Accepting new patients
Imex Inc Addiction (Substance Use Disorder) Past
since Feb 2, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

3622 Prospect Ave E
Cleveland, OH 44115-2704

Mailing address

167 Highland Mist Cir
Hinckley, OH 44233-9354
Phone (727) 225-9952

Other providers in Cleveland, OH

All providers in Cleveland, OH · Addiction (Substance Use Disorder) Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.