Provider Demographics
NPI:1194461145
Name:CELESTIN, SHALEAH THOMPSON (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHALEAH
Middle Name:THOMPSON
Last Name:CELESTIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2580 PINERIDGE ST
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-3976
Mailing Address - Country:US
Mailing Address - Phone:985-713-4459
Mailing Address - Fax:
Practice Address - Street 1:2580 PINERIDGE ST
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-3976
Practice Address - Country:US
Practice Address - Phone:985-713-4459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-11
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA171M00000X
LA16374104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator