Healthcare Provider Details

I. General information

NPI: 1881538023
Provider Name (Legal Business Name): EMILY ELIZABETH BELLELO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 CORA DR
BATON ROUGE LA
70815-4201
US

IV. Provider business mailing address

150 CORA DR
BATON ROUGE LA
70815-4201
US

V. Phone/Fax

Practice location:
  • Phone: 225-387-1611
  • Fax: 225-343-5300
Mailing address:
  • Phone: 225-387-1611
  • Fax: 225-343-5300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number236168
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: