Provider Demographics
NPI:1447308044
Name:BELLARD, JOSEPH ALBERT (LCSW)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ALBERT
Last Name:BELLARD
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40475
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-0008
Mailing Address - Country:US
Mailing Address - Phone:512-469-9550
Mailing Address - Fax:512-477-3545
Practice Address - Street 1:3355 BEE CAVE RD
Practice Address - Street 2:BLDG. 3, SUITE 301A
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6775
Practice Address - Country:US
Practice Address - Phone:512-469-9550
Practice Address - Fax:512-477-3545
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX172121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical