Provider Demographics
NPI:1083466999
Name:BEL HEALTHCARE
Entity Type:Organization
Organization Name:BEL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:TITILOLA
Authorized Official - Middle Name:OLAIDE
Authorized Official - Last Name:ADEBOYE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:404-219-1426
Mailing Address - Street 1:1610 UNITY LOOP
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-1596
Mailing Address - Country:US
Mailing Address - Phone:404-219-1426
Mailing Address - Fax:
Practice Address - Street 1:2450 ATLANTA HWY STE 1701
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-1237
Practice Address - Country:US
Practice Address - Phone:404-219-1426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty