RUSSELL STEVEN BELLAMY LAC NPI 1801235957

NPI Information

NPI: 1801235957
Provider Name: RUSSELL STEVEN BELLAMY, LAC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3358 S 2ND ST STE A-C
CABOT, AR
ZIP 72023
Phone: (501) 286-6053
Get Directions

Russell Steven Bellamy, LAC is a mental health counselor in Cabot, AR. Russell Steven Bellamy, LAC NPI is 1801235957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3358 S 2ND ST STE A-C
CABOT, AR
ZIP 72023-873
Phone: (501) 286-6053
Fax: (501) 286-6090

The enumeration date for this NPI number is 6/21/2013 and was last updated on 4/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	A1706220	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	259512795	MEDICAID	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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