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General NPI Number Information
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NPI Number | 1346688132
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Entity Type | Organization
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Legal Business Name | BELLAMY COUNSELING SERVICES
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Dates
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Enumeration Date | 06/13/2013
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Last Update Date | 06/13/2013
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Provider Practice Location Address
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Address Line | 5564 TIKI LN
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City | JACKSON
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State | MS
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Zip | 39212-3657
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Country | US
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Telephone | 601-405-2638
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12395
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City | JACKSON
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State | MS
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Zip | 39236-2395
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MS. VANESSA BELLAMY
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Credential | LPC, NCC
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Telephone | 601-405-2638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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 #3
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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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