Provider Demographics
NPI:1881716090
Name:COSTA, BELINDA
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:COSTA
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 1:9821 SUMMERWOOD CIR
Mailing Address - Street 2:APT 1307
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-5709
Mailing Address - Country:US
Mailing Address - Phone:214-333-7031
Mailing Address - Fax:
Practice Address - Street 1:9821 SUMMERWOOD CIR
Practice Address - Street 2:APT 1307
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-5709
Practice Address - Country:US
Practice Address - Phone:214-333-7031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker