Provider Demographics
NPI:1275341661
Name:BELLA HEALTH
Entity type:Organization
Organization Name:BELLA HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLEVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, LPCC
Authorized Official - Phone:978-641-0660
Mailing Address - Street 1:5305 BUCHANAN ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90042-2443
Mailing Address - Country:US
Mailing Address - Phone:978-641-6600
Mailing Address - Fax:
Practice Address - Street 1:9 NORTH ST UNIT 6
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-4183
Practice Address - Country:US
Practice Address - Phone:978-641-6600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty