Healthcare Provider Details

I. General information

NPI: 1760396030
Provider Name (Legal Business Name): BELLIS THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 E BASELINE RD D205 #1
TEMPE AZ
85283
US

IV. Provider business mailing address

1776 N SCOTTSDALE RD UNIT 601
SCOTTSDALE AZ
85252-3626
US

V. Phone/Fax

Practice location:
  • Phone: 480-490-3545
  • Fax:
Mailing address:
  • Phone: 480-490-3545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. STASEE JEANEEN MCBRIDE
Title or Position: CLINICIAN
Credential: LCSW
Phone: 480-490-3545