Provider Demographics
NPI:1649880527
Name:BELLAMY, UNIQUE DESTINY
Entity type:Individual
Prefix:
First Name:UNIQUE
Middle Name:DESTINY
Last Name:BELLAMY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4616 WESTGROVE CT STE 102
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-5414
Mailing Address - Country:US
Mailing Address - Phone:757-567-7392
Mailing Address - Fax:
Practice Address - Street 1:4616 WESTGROVE CT STE 102
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-5414
Practice Address - Country:US
Practice Address - Phone:757-567-7392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health