MEDICARE: BELLE MIND MENTAL HEALTH COUNSELING PLLC

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	:	1548128556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLE MIND MENTAL HEALTH COUNSELING PLLC

Provider Business Mailing Address
First Line	:	154 PEARSALL DR APT 4H
Second Line	:
City	:	MOUNT VERNON
State	:	NY
Zip	:	10552-3905
Country	:	US
Telephone Number	:	914-584-4008
Fax Number	:

Provider Business Practice Location Address
First Line	:	418 BROADWAY STE N
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12207-2922
Country	:	US
Telephone Number	:	914-584-1304
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	CAMILLY M COELHO
Credential	:	LMHC-D
Telephone Number	:	914-584-4008

Provider Enumeration Date	:	01/10/2026
Last Update Date	:	01/10/2026

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