Provider Demographics
NPI:1578896015
Name:BELLAMY, RACHEL MARIE (BA, MBA, CSAC-R)
Entity Type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:MARIE
Last Name:BELLAMY
Suffix:
Gender:F
Credentials:BA, MBA, CSAC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 EVERARD ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-3971
Mailing Address - Country:US
Mailing Address - Phone:843-999-6535
Mailing Address - Fax:
Practice Address - Street 1:2398 LENORA CHURCH RD
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6921
Practice Address - Country:US
Practice Address - Phone:919-455-7117
Practice Address - Fax:866-820-9846
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6008531Medicaid