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General NPI Number Information
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NPI Number | 1093685166
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Entity Type | Organization
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Legal Business Name | BELLA PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 2955 PINEDA PLAZA WAY STE 209
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City | MELBOURNE
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State | FL
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Zip | 32940-7307
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Country | US
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Telephone | 321-491-4947
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Fax | 321-419-4947
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Provider Business Mailing Address
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Address Line | 2955 PINEDA PLAZA WAY STE 209
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City | MELBOURNE
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State | FL
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Zip | 32940-7307
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Country | US
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Telephone | 321-491-4947
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Fax | 321-419-4947
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Authorized Official
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Title or Position | CEO
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Name | NELLA GLORIA CICIULLA ALBRECHT
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Credential | LMHC, PHD
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Telephone | 321-419-4947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084S0010X
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Taxonomy Name | Sports Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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