Pamela Bellaver, LPC

Individual provider Active NPI Professional Counselor · Oak Park, MI

NPI 1851024681 · NPPES record last updated Jul 8, 2022

Key facts

NPI
1851024681
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
6401003465 (MI)
Practice address
23210 Manistee St
Oak Park, MI 48237-2294
Phone
(248) 743-7440
NPI assigned
Jul 8, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6401003465MIMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401003465 MI Yes

Addresses

Primary practice location

23210 Manistee St
Oak Park, MI 48237-2294

Mailing address

23210 Manistee St
Oak Park, MI 48237-2294
Phone (248) 743-7440

Other providers in Oak Park, MI

All providers in Oak Park, MI · Professional Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.