Provider Demographics
NPI:1437228475
Name:CAMPANELLA, CARA BELVISO (LPC,LMFT)
Entity Type:Individual
Prefix:MS
First Name:CARA
Middle Name:BELVISO
Last Name:CAMPANELLA
Suffix:
Gender:F
Credentials:LPC,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 LIBBIE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-2618
Mailing Address - Country:US
Mailing Address - Phone:804-282-1800
Mailing Address - Fax:
Practice Address - Street 1:2917 E WATERFORD WAY
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23233-1648
Practice Address - Country:US
Practice Address - Phone:804-282-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717000237101YP2500X
VA0701001624101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA203214Medicare UPIN
VA142981Medicare UPIN