Provider Demographics
NPI:1730225509
Name:BELK, MICHELLE LINDA (LCMHC)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:LINDA
Last Name:BELK
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:MISS
Other - First Name:MICHELLE
Other - Middle Name:LINDA
Other - Last Name:PARRISH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 W PARK ST
Mailing Address - Street 2:SUITE 213
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766-1378
Mailing Address - Country:US
Mailing Address - Phone:508-254-7955
Mailing Address - Fax:888-974-1161
Practice Address - Street 1:20 W PARK ST
Practice Address - Street 2:SUITE 213
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1378
Practice Address - Country:US
Practice Address - Phone:508-254-7955
Practice Address - Fax:888-974-1161
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH708101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health