Healthcare Provider Details

I. General information

NPI: 1952218364
Provider Name (Legal Business Name): BELLOH TOMAR HARRIS MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 WOODHAVEN RD APT H4
PHILADELPHIA PA
19154-1735
US

IV. Provider business mailing address

3201 WOODHAVEN RD APT H4
PHILADELPHIA PA
19154-1735
US

V. Phone/Fax

Practice location:
  • Phone: 267-504-7284
  • Fax:
Mailing address:
  • Phone: 267-504-7284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020776
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: