Healthcare Provider Details

I. General information

NPI: 1336912476
Provider Name (Legal Business Name): MS. DONNA-LEE SHERNELLE BELLAMY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2023
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4832 ABBYVILLE PL
OLNEY MD
20832-1885
US

IV. Provider business mailing address

4832 ABBYVILLE PL
OLNEY MD
20832-1885
US

V. Phone/Fax

Practice location:
  • Phone: 301-549-0488
  • Fax:
Mailing address:
  • Phone: 301-549-0488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number33463
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: