Provider Demographics
NPI:1346379773
Name:BELLE, LAWRENCE JOSEPH (LISW-CP)
Entity type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:JOSEPH
Last Name:BELLE
Suffix:
Gender:M
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 DUFFS MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:SC
Mailing Address - Zip Code:29661-9790
Mailing Address - Country:US
Mailing Address - Phone:864-271-5056
Mailing Address - Fax:864-271-8043
Practice Address - Street 1:9A CALEDON CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-3170
Practice Address - Country:US
Practice Address - Phone:864-271-5056
Practice Address - Fax:864-271-5056
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5621101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health