Bacon, Belinda

Bacon, Belinda is an sole proprietor health care provider with primary practice located at 4989 N 3Rd St , Laramie WY 82072-9548. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bacon, Belinda can be contacted via phone (307) 745-8997.

Contact Information

Primary practice address
4989 N 3Rd St Laramie WY 82072-9548
Phone: (307) 745-8997
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 475-PCSW Wyoming
Behavioral Health & Social Service Providers / Social Worker 104100000X PCSW-475 Wyoming
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-982 Wyoming

Profile Details

NPI number 1497008957
LBN Legal business name Bacon, Belinda
Credentials PCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2012
Last updated May 19th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497008957 NPPES
Wyoming Other LCSW-982 STATE LICENSE
Wyoming Other 475-PCSW STATE LICENSE

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