MEDICARE: SONYA YOUNG-BELLAMY M.S.W.

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	:	1780084509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONYA YOUNG-BELLAMY M.S.W.

Provider Business Mailing Address
First Line	:	8875 RIDGE AVE
Second Line	:	APT 31
City	:	PHILADELPHIA
State	:	PA
Zip	:	19128-2025
Country	:	US
Telephone Number	:	267-971-2912
Fax Number	:

Provider Business Practice Location Address
First Line	:	8875 RIDGE AVE
Second Line	:	APT 31
City	:	PHILADELPHIA
State	:	PA
Zip	:	19128-2025
Country	:	US
Telephone Number	:	267-971-2912
Fax Number	:

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

Provider Enumeration Date	:	08/28/2014
Last Update Date	:	08/28/2014

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