Provider Demographics
NPI:1962844696
Name:BELLO, CINDY (MS, ICAADC, SAP)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:BELLO
Suffix:
Gender:F
Credentials:MS, ICAADC, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908 WEST ALLEN ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-4328
Mailing Address - Country:US
Mailing Address - Phone:484-274-8993
Mailing Address - Fax:
Practice Address - Street 1:1908 WEST ALLEN ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-4328
Practice Address - Country:US
Practice Address - Phone:484-929-7244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NJ37CA00073400101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1962844696Medicaid