| Mike Bellamy Counseling Llc | |
|
297 Kinderkamack Rd Ste 212 Oradell NJ 07649-1535 | |
| (201) 543-9587 | |
| Not Available |
| Full Name | Mike Bellamy Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 297 Kinderkamack Rd Ste 212, Oradell, New Jersey |
| Authorized Official Name and Position | Mike Bellamy (PRINCIPAL) |
| Authorized Official Contact | 2015439587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mike Bellamy Counseling Llc 70 Willow Ave Hackensack NJ 07601-3001 Ph: (201) 543-9587 | Mike Bellamy Counseling Llc 297 Kinderkamack Rd Ste 212 Oradell NJ 07649-1535 Ph: (201) 543-9587 |
| NPI Number | 1831606862 |
|---|---|
| Provider Enumeration Date | 12/28/2017 |
| Last Update Date | 01/10/2020 |
| Certification Date | 01/10/2020 |
| Medicare PECOS PAC ID | 3375891732 |
|---|---|
| Medicare Enrollment ID | O20180802000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831606862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | 44SC05424200 (New Jersey) | Secondary |
| Provider Name | Mike Bellamy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952722365 PECOS PAC ID: 7113222902 Enrollment ID: I20160216000930 |
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