Provider Demographics
NPI:1679013270
Name:DAWN BELAMARICH, LLC
Entity Type:Organization
Organization Name:DAWN BELAMARICH, LLC
Other - Org Name:TUNNEL LIGHT COUNSELING & CONSULTATION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BELAMARICH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCADC
Authorized Official - Phone:609-214-4011
Mailing Address - Street 1:2916 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08401-3736
Mailing Address - Country:US
Mailing Address - Phone:609-214-4011
Mailing Address - Fax:
Practice Address - Street 1:222 NEW RD
Practice Address - Street 2:SUITE 801
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1299
Practice Address - Country:US
Practice Address - Phone:609-214-4011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00564300251S00000X
NJ37LC00201600251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health