MEDICARE: BEAUTIFUL WAY 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	:	1902788565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEAUTIFUL WAY COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	6140 WHEELER DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-4313
Country	:	US
Telephone Number	:	704-953-9127
Fax Number	:

Provider Business Practice Location Address
First Line	:	6140 WHEELER DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-4313
Country	:	US
Telephone Number	:	704-953-9127
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRENDAN BELLAVIA
Credential	:
Telephone Number	:	704-953-9127

Provider Enumeration Date	:	07/24/2025
Last Update Date	:	07/24/2025

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