MEDICARE: ATHEA BELL-BURTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LC17516	MD
2	101YM0800X	Mental Health Counselor	LC17516	MD

General Provider Information

NPI Number	:	1538916952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ATHEA BELL-BURTON

Provider Business Mailing Address
First Line	:	PO BOX 676
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20773-0676
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4325 NORTHVIEW DR
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-2601
Country	:	US
Telephone Number	:	240-281-8361
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2024
Last Update Date	:	02/03/2026

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Directions to “ ATHEA BELL-BURTON ” Practice Location

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