Provider Demographics
NPI:1336477967
Name:DELLA BELLA, CHRISTA MARIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CHRISTA
Middle Name:MARIE
Last Name:DELLA BELLA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 BARDSTOWN RD
Mailing Address - Street 2:SUITE 411
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-4605
Mailing Address - Country:US
Mailing Address - Phone:502-224-6828
Mailing Address - Fax:
Practice Address - Street 1:3415 BARDSTOWN RD
Practice Address - Street 2:SUITE 411
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-4605
Practice Address - Country:US
Practice Address - Phone:502-224-6828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-19
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY40301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical