Provider Demographics
NPI:1467495499
Name:BELLIS, JOYCE D (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:D
Last Name:BELLIS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 MANSFIELD GROVE RD
Mailing Address - Street 2:SUITE 507
Mailing Address - City:EAST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06512-4804
Mailing Address - Country:US
Mailing Address - Phone:203-466-6303
Mailing Address - Fax:203-469-0834
Practice Address - Street 1:233 MANSFIELD GROVE RD
Practice Address - Street 2:SUITE 507
Practice Address - City:EAST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06512-4804
Practice Address - Country:US
Practice Address - Phone:203-466-6303
Practice Address - Fax:203-469-0834
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001075101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional