Provider Demographics
NPI:1093254138
Name:BELLI, FLAVIA INES (LMHC)
Entity Type:Individual
Prefix:
First Name:FLAVIA
Middle Name:INES
Last Name:BELLI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 CANAL ST
Mailing Address - Street 2:3A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-6334
Mailing Address - Country:US
Mailing Address - Phone:917-232-5952
Mailing Address - Fax:
Practice Address - Street 1:27 CANAL ST
Practice Address - Street 2:3A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-6334
Practice Address - Country:US
Practice Address - Phone:917-232-5952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-22
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007307101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health