Healthcare Provider Details

I. General information

NPI: 1811610421
Provider Name (Legal Business Name): BELLIBIND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2022
Last Update Date: 09/20/2022
Certification Date: 09/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3707 E SOUTHERN AVE
MESA AZ
85206-2569
US

IV. Provider business mailing address

3707 E SOUTHERN AVE
MESA AZ
85206-2569
US

V. Phone/Fax

Practice location:
  • Phone: 844-692-3554
  • Fax:
Mailing address:
  • Phone: 844-692-3554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name: PRINCESS ESTOCIA S MCKINNEY
Title or Position: OWNER/FOUNDER
Credential: LBS CPD
Phone: 310-926-8678