Provider Demographics
NPI:1235560996
Name:BELLO, MISEL (MS)
Entity Type:Individual
Prefix:MS
First Name:MISEL
Middle Name:
Last Name:BELLO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 COMMERCE WAY
Mailing Address - Street 2:APT # 228
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1593
Mailing Address - Country:US
Mailing Address - Phone:786-333-7740
Mailing Address - Fax:
Practice Address - Street 1:8300 COMMERCE WAY
Practice Address - Street 2:APT # 228
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1593
Practice Address - Country:US
Practice Address - Phone:786-333-7740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-06
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health