| Doctor Name: | LISA R BELLO |
| NPI Number: | 1013255199 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW, LADC-I, CEAP |
| License Number: | 666 |
| Business Practice Address: | 1150 Great Plain Ave Suite 920271 Needham, MA - 02492 |
| Business Phone Number: | 6176807669 |
| Business Fax Number: | |
| Mailing Address: | Po Box 920271, NEEDHAM |
| State: | MA |
| Postal Code: | 024920003 |
| Phone Number: | 6176807669 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2013 |
| NPI Last Update Date: | 01/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 666 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |