Provider Demographics
NPI:1750150892
Name:INNOCENT, BELLA (RMHCI)
Entity type:Individual
Prefix:MRS
First Name:BELLA
Middle Name:
Last Name:INNOCENT
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3312 KALEIGH CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34772-7054
Mailing Address - Country:US
Mailing Address - Phone:516-282-4154
Mailing Address - Fax:
Practice Address - Street 1:1417 HAMLIN AVE UNIT G
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-8590
Practice Address - Country:US
Practice Address - Phone:321-344-0043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-01
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health