Healthcare Provider Details

I. General information

NPI: 1730225509
Provider Name (Legal Business Name): MICHELLE LINDA BELK LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS MICHELLE LINDA PARRISH

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 07/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 W PARK ST SUITE 213
LEBANON NH
03766-1378
US

IV. Provider business mailing address

20 W PARK ST SUITE 213
LEBANON NH
03766-1378
US

V. Phone/Fax

Practice location:
  • Phone: 508-254-7955
  • Fax: 888-974-1161
Mailing address:
  • Phone: 508-254-7955
  • Fax: 888-974-1161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number708
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: