| Doctor Name: | BELLA SMALL |
| NPI Number: | 1114374733 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CAC |
| License Number: | |
| Business Practice Address: | 2642 Nw 33rd St Apt 1902 Oakland Park, FL - 333096480 |
| Business Phone Number: | 9542944040 |
| Business Fax Number: | |
| Mailing Address: | 2642 Nw 33rd St Apt 1902, OAKLAND PARK |
| State: | FL |
| Postal Code: | 333096480 |
| Phone Number: | 9542944040 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2016 |
| NPI Last Update Date: | 05/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |