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Organization

BELLA PSYCHOLOGICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NELLA GLORIA CICIULLA ALBRECHT LMHC, PHD (CEO)
(321) 419-4947
Entity
Organization

Contact information

Practice address
2955 PINEDA PLAZA WAY STE 209, MELBOURNE, FL 32940-7307
(321) 491-4947
(321) 419-4947
Mailing address
2955 PINEDA PLAZA WAY STE 209, MELBOURNE, FL 32940-7307
(321) 491-4947
(321) 419-4947

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
103T00000X
Psychologist
103TC1900X
Counseling Psychologist
207Q00000X
Family Medicine Physician
2084P0800X
Psychiatry Physician
2084S0010X
Sports Medicine (Psychiatry & Neurology) Physician
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1982077228
INSURANCE
FL
Enumeration date
11/05/2025
Last updated
11/05/2025
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