Provider Demographics
NPI:1437811940
Name:BELLFIELD, SHKEYA (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:SHKEYA
Middle Name:
Last Name:BELLFIELD
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 BEAUMONT WAY
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-3790
Mailing Address - Country:US
Mailing Address - Phone:706-286-6889
Mailing Address - Fax:
Practice Address - Street 1:1700 PENNSYLVANIA AVE STE 206
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-9115
Practice Address - Country:US
Practice Address - Phone:706-286-6889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-12
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA950206982084P0800X
NM656822084P0800X
WAAP612378342084P0800X
VA00241828932084P0800X
UT12514916-44052084P0800X
NY4038342084P0800X
GAGAA-NP0004372084P0800X, 363LP0808X
FLAPRN110162542084P0800X
AZ2666442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry