Healthcare Provider Details

I. General information

NPI: 1710589940
Provider Name (Legal Business Name): BELINDA ANN MOREY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BELINDA ANN BICKFORD

II. Dates (important events)

Enumeration Date: 11/12/2020
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 MARK RD
ARBOR VITAE WI
54568-9289
US

IV. Provider business mailing address

1415 MARK RD
ARBOR VITAE WI
54568-9289
US

V. Phone/Fax

Practice location:
  • Phone: 715-892-5310
  • Fax:
Mailing address:
  • Phone: 715-892-5310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number18914
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: