Provider Demographics
NPI:1568421493
Name:BELLAH, ALYCIA A (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALYCIA
Middle Name:A
Last Name:BELLAH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 W VIRGINIA ST STE 202
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-7703
Mailing Address - Country:US
Mailing Address - Phone:972-542-5980
Mailing Address - Fax:972-542-5490
Practice Address - Street 1:1650 W VIRGINIA ST STE 202
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-7703
Practice Address - Country:US
Practice Address - Phone:972-542-5980
Practice Address - Fax:972-542-5490
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2490101YP2500X
TX37603103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional