Bellamy, Douglas

Bellamy, Douglas is an individual health care provider with primary practice located at 17762 Preston Rd , Dallas TX 75252-5736. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Bellamy, Douglas can be contacted via phone (972) 404-8888.

Contact Information

Primary practice address
17762 Preston Rd Dallas TX 75252-5736
Phone: (972) 404-8888
Fax: (972) 208-2412
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 21998 Texas

Profile Details

NPI number 1962533489
LBN Legal business name Bellamy, Douglas
Credentials EDD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Apr 5th, 2013 - about 13 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 1962533489 NPPES
Texas MEDICAID 038966001
Texas Other 4108749
Texas Other 81618P
Texas Other 21998
Texas Other OP21998

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