Provider Demographics
NPI:1528494473
Name:OATES, BELINDA MARSHELLE (MS)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:MARSHELLE
Last Name:OATES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 GREEN ST
Mailing Address - Street 2:B202
Mailing Address - City:FORT VALLEY
Mailing Address - State:GA
Mailing Address - Zip Code:31030-4332
Mailing Address - Country:US
Mailing Address - Phone:478-538-8100
Mailing Address - Fax:
Practice Address - Street 1:718 GREEN ST
Practice Address - Street 2:B202
Practice Address - City:FORT VALLEY
Practice Address - State:GA
Practice Address - Zip Code:31030-4332
Practice Address - Country:US
Practice Address - Phone:478-538-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health