Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Celeste Demaria Lacy

Individual provider Mental Health Counselor · NPI 1871987206

Celeste Demaria Lacy is a Mental Health Counselor in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
Specialties on file
3

Practice location Address checks out

11303 W Washington Blvd
Los Angeles, CA 90066-6003
Phone: (310) 482-3200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 111074 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence ASW89831 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1871987206
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 24, 2015
Last updated in NPPESJune 27, 2023
Certification dateJune 27, 2023

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