Provider Demographics
NPI:1508528894
Name:BELLANT, ALYSSA (CADC-DP)
Entity Type:Individual
Prefix:MISS
First Name:ALYSSA
Middle Name:
Last Name:BELLANT
Suffix:
Gender:F
Credentials:CADC-DP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 HANNAH ST
Mailing Address - Street 2:
Mailing Address - City:BOYNE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49712-9134
Mailing Address - Country:US
Mailing Address - Phone:231-420-3290
Mailing Address - Fax:
Practice Address - Street 1:8446 M 119
Practice Address - Street 2:
Practice Address - City:HARBOR SPRINGS
Practice Address - State:MI
Practice Address - Zip Code:49740-9595
Practice Address - Country:US
Practice Address - Phone:231-545-4141
Practice Address - Fax:231-535-2372
Is Sole Proprietor?:No
Enumeration Date:2021-10-13
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)