Belluscio, Dale Robin

Belluscio, Dale Robin is an individual health care provider with primary practice located at 597 Old Mount Holly Rd Ste 300 , Goose Creek SC 29445-2832. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Belluscio, Dale Robin can be contacted via phone (843) 501-1099.

Contact Information

Primary practice address
597 Old Mount Holly Rd Ste 300 Goose Creek SC 29445-2832
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 15938 South Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW01887 Rhode Island

Profile Details

NPI number 1255466520
LBN Legal business name Belluscio, Dale Robin
Credentials LISW-CP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jun 12th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255466520 NPPES
Rhode Island MEDICAID DB61395

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