CELESTE BRAIN HEALTH PLLC NPI 1013642776

NPI Information

  • NPI: 1013642776
  • Provider Name: CELESTE BRAIN HEALTH PLLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Doing Business As: CELESTE NEUROLOGY
  • Address: 5500 EXECUTIVE CENTER DR STE 206
    CHARLOTTE, NC
    ZIP 28212
  • Phone: (984) 777-9940

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NPI Details

CELESTE BRAIN HEALTH PLLC is a neurology psychiatry neurology in Charlotte, NC. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. CELESTE BRAIN HEALTH PLLC NPI is 1013642776. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Celeste Neurology.

The provider's business location address is:

5500 EXECUTIVE CENTER DR STE 206
CHARLOTTE, NC
ZIP 28212-864
Phone: (984) 777-9940
Fax: (877) 794-5929

The provider's authorized official is Sumul Modi .
The authorized official title is Owner/partner and has the following contact phone number (984) 777-9940.

The enumeration date for this NPI number is 7/18/2022 and was last updated on 12/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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