Leon Blake Bellamy Jr.
Counselor, Mental Health in Madison, TN. Individual provider (NPI-1).
NPI number1699348151
StatusActive
Last updated in NPPESJul 22, 2021
Details
- NPI
- 1699348151
- Entity type
- Individual (NPI-1)
- Name
- Mr. Leon Blake Bellamy Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2021
- Certification date
- Jul 22, 2021
- Last updated
- Jul 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
620 Gallatin Pike SMadison, TN 37115-4013
Phone 423-302-9132
Mailing address
620 Gallatin Pike SMadison, TN 37115-4013
Phone 423-302-9132
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