Provider Demographics
NPI:1093872137
Name:BELLINI, DOREEN (LMFT)
Entity type:Individual
Prefix:MS
First Name:DOREEN
Middle Name:
Last Name:BELLINI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3279
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92085-3279
Mailing Address - Country:US
Mailing Address - Phone:937-586-9299
Mailing Address - Fax:760-659-6471
Practice Address - Street 1:327 S IVY ST
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-4337
Practice Address - Country:US
Practice Address - Phone:937-586-9299
Practice Address - Fax:760-659-6471
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC24808106H00000X
OHF0000112106H00000X
IDLMFT3086106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist