MEDICARE: ALEXIE BELLE LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	MH14239	FL
2	101YM0800X	Mental Health Counselor	MH14239	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407169774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIE BELLE LMHC

Provider Business Mailing Address
First Line	:	224 DATURA ST STE 1015
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5638
Country	:	US
Telephone Number	:	888-984-2523
Fax Number	:	561-898-2237

Provider Business Practice Location Address
First Line	:	127 S M ST STE 3
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-4107
Country	:	US
Telephone Number	:	561-600-8764
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2010
Last Update Date	:	09/16/2020

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