Provider Demographics
NPI:1679354047
Name:ENGEL, CELISE RAELYNN (TLMHC)
Entity type:Individual
Prefix:
First Name:CELISE
Middle Name:RAELYNN
Last Name:ENGEL
Suffix:
Gender:F
Credentials:TLMHC
Other - Prefix:
Other - First Name:CELISE
Other - Middle Name:RAELYNN
Other - Last Name:BULLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SPRAGUE; WATKINS
Mailing Address - Street 1:7 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-5193
Mailing Address - Country:US
Mailing Address - Phone:641-351-4003
Mailing Address - Fax:
Practice Address - Street 1:7 WESTWOOD DR
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-5193
Practice Address - Country:US
Practice Address - Phone:641-351-4003
Practice Address - Fax:641-351-4003
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health