Provider Demographics
NPI:1346309143
Name:BELOVUSS, GEORGE JOHN (MED, LPC)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:JOHN
Last Name:BELOVUSS
Suffix:
Gender:M
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 E MAIN ST
Mailing Address - Street 2:SUITE 1603
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-2619
Mailing Address - Country:US
Mailing Address - Phone:804-648-6716
Mailing Address - Fax:804-788-0447
Practice Address - Street 1:700 E MAIN ST
Practice Address - Street 2:SUITE 1603
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-2619
Practice Address - Country:US
Practice Address - Phone:804-648-6716
Practice Address - Fax:804-788-0447
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001416101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional