MEDICARE: MS. PATRICIA ANN BELLAMY LPC

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	0701003121	VA

General Provider Information

NPI Number	:	1801070248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATRICIA ANN BELLAMY LPC

Provider Business Mailing Address
First Line	:	412 PATTON LN
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-2526
Country	:	US
Telephone Number	:	757-580-0500
Fax Number	:

Provider Business Practice Location Address
First Line	:	412 PATTON LN
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-2526
Country	:	US
Telephone Number	:	757-580-0500
Fax Number	:

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

Provider Enumeration Date	:	12/20/2007
Last Update Date	:	12/20/2007

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