MEDICARE: BELINDA MARSHELLE OATES MS

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1528494473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELINDA MARSHELLE OATES MS

Provider Business Mailing Address
First Line	:	718 GREEN ST
Second Line	:	B202
City	:	FORT VALLEY
State	:	GA
Zip	:	31030-4332
Country	:	US
Telephone Number	:	478-538-8100
Fax Number	:

Provider Business Practice Location Address
First Line	:	718 GREEN ST
Second Line	:	B202
City	:	FORT VALLEY
State	:	GA
Zip	:	31030-4332
Country	:	US
Telephone Number	:	478-538-8100
Fax Number	:

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

Provider Enumeration Date	:	09/24/2013
Last Update Date	:	09/24/2013

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