Basic Information
| Provider Information | |||||||||
| NPI: | 1992200547 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BELLA MENTE COUNSELING, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 151 SINGLETON ST | ||||||||
| Address2: | |||||||||
| City: | WOONSOCKET | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028951832 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5083734074 | ||||||||
| FaxNumber: | 4012359064 | ||||||||
| Practice Location | |||||||||
| Address1: | 154 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | WOONSOCKET | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028954469 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5083734074 | ||||||||
| FaxNumber: | 4012359064 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2018 | ||||||||
| LastUpdateDate: | 12/17/2021 | ||||||||
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| AuthorizedOfficialLastName: | MANCINI | ||||||||
| AuthorizedOfficialFirstName: | BETH | ||||||||
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| AuthorizedOfficialTitleorPosition: | LICSW | ||||||||
| AuthorizedOfficialTelephone: | 5057319006 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 12/17/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.