BELINDA LICEA (NPI# 1043721558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043721558 |
| Entity Type | Individual |
| Full Name | BELINDA LICEA |
| Credential | MA, PLPC |
| Practice Address |
704 Historic 66 W Ste 207 Waynesville MO 65583-2136 |
| Practice Telephone | 5734334846 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2018-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
21619189 | MO | Behavioral Health & Social Service Providers |
| Street Address |
704 HISTORIC 66 W STE 207 |
| City | WAYNESVILLE |
| State | MO |
| Zip Code | 65583-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215306287 | Denise Dickens | Counselor | 704 Historic 66 W Ste 207, Waynesville, MO 65583-2136 | 2015-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1134770464 | Patricia Harper | Technician | 25455 Hwy W, Waynesville, MO 65583 | 2019-09-27 |
| 1619430519 | Charles L Quinn | Counselor | Hope Connections LLC 704 Historic Rte. 66w Suite 101, Waynesville, MO 65583 | 2019-04-09 |
| 1801340609 | Nicole Marie Decher | Social Worker | 704 Historic 66 W # 207, Waynesville, MO 65583 | 2016-08-09 |
| 1780952945 | Joseph Benton Isaac | Dentist | 1400 State Rd F, Reznicek Dental Group LLC, Waynesville, MO 65583 | 2011-12-02 |
| 1326325192 | Paul Duane Reznicek | Dentist | 1400 State Rt F, Waynesville, MO 65583 | 2011-11-08 |
| 1629366182 | Bletel Residential Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18844 Ladera Ln, Waynesville, MO 65583 | 2011-07-19 |
| 1720218126 | Pulaski County Board for The Handicapped | Case Management | 301 Historic Route 66 East, Waynesville, MO 65583 | 2009-07-20 |
| 1447436001 | Joseph Garold Moody | Counselor | 1000 Hospital Road., Piney Ridge Center, Waynesville, MO 65583 | 2008-01-14 |
| 1841404746 | Valencia Sivells | Counselor | 411 Historic Rte 66 West, Waynesville, MO 65583 | 2007-05-09 |
| Find all providers in zip 65583 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225656622 | Heather Nicole Conner | Counselor | 24 Trinity Pl, Waynesville, NC 28786-6196 | 2020-07-12 |
| 1861911034 | Daniel Yearick, Lpc, Ncc - Adult & Adolescent Psychotherapy, LLC | Counselor | 166 Branner Ave Ste B, Waynesville, NC 28786-3244 | 2017-09-19 |
| 1720523434 | Ashley Wildrick | Counselor | 704 Historic 66 W, Suite 207, Waynesville, MO 65583-2136 | 2017-01-04 |
| 1215481320 | Gregory Dunmore | Counselor | 704 Route 66 W, 207, Waynesville, MO 65583-2136 | 2016-08-05 |
| 1790151918 | Erin Cooke | Counselor | 367 Dellwood Rd Ste A2, Waynesville, NC 28786-3136 | 2015-08-12 |
| 1861767105 | Geralyn Hartley | Counselor | 309 Skyline Dr, Waynesville, MO 65583-2132 | 2012-03-20 |
| 1720317803 | Barbara S. Bryans-brennan | Counselor | 56 Montgomery Street, Ste D, Waynesville, NC 28786-7313 | 2009-12-18 |
| 1114187861 | Michelle E. Higgins | Counselor | 20 Hodges Dr, Waynesville, NC 28786-5791 | 2008-06-16 |
| 1447436001 | Joseph Garold Moody | Counselor | 1000 Hospital Road., Piney Ridge Center, Waynesville, MO 65583 | 2008-01-14 |
| 1336205921 | Catherine Quick Harlan | Counselor | 1207 East Street, Waynesville, NC 28786 | 2006-12-28 |
| Find all providers in WAYNESVILLE | ||||
| City | WAYNESVILLE |
| Zip Code | 65583 |
Please comment or provide details below to improve the information on BELINDA LICEA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.