Provider Demographics
NPI:1528808391
Name:BEAUSEJOUR-BELL, HERLENE (LCSW)
Entity type:Individual
Prefix:
First Name:HERLENE
Middle Name:
Last Name:BEAUSEJOUR-BELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5044 SABLE CHIME DR
Mailing Address - Street 2:
Mailing Address - City:WIMAUMA
Mailing Address - State:FL
Mailing Address - Zip Code:33598-4171
Mailing Address - Country:US
Mailing Address - Phone:813-403-4417
Mailing Address - Fax:
Practice Address - Street 1:5044 SABLE CHIME DR
Practice Address - Street 2:
Practice Address - City:WIMAUMA
Practice Address - State:FL
Practice Address - Zip Code:33598-4171
Practice Address - Country:US
Practice Address - Phone:813-403-4417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical