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NPI Code Detail

MEDICARE: MONIQUE R. BELLAMY LPCC-S

MEDICARE: MONIQUE R. BELLAMY LPCC-S
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
1101YP2500XProfessional CounselorE.1000373-SUPVOH

General Provider Information

NPI Number : 1972889129
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIQUE R. BELLAMY LPCC-S
Provider Business Mailing Address
First Line : 4600 MONTGOMERY RD STE 400
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2600
Country : US
Telephone Number : 833-510-4357
Fax Number :
Provider Business Practice Location Address
First Line : 485 W MAIN ST
Second Line :
City : WILMINGTON
State : OH
Zip : 45177-2174
Country : US
Telephone Number : 833-510-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2011
Last Update Date : 09/06/2024

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