MEDICARE: BLUE BELL MANAGEMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1023704954
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUE BELL MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	2487 S GILBERT RD STE 106-163
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85295-2808
Country	:	US
Telephone Number	:	520-375-2682
Fax Number	:

Provider Business Practice Location Address
First Line	:	107 E 1ST ST
Second Line	:
City	:	CASA GRANDE
State	:	AZ
Zip	:	85122-5201
Country	:	US
Telephone Number	:	520-375-2682
Fax Number	:

Authorized Official
Title or Position	:	CHIEF ADMINISTRATIVE OFFICER
Name	:	LISA TAPIA
Credential	:
Telephone Number	:	520-375-2682

Provider Enumeration Date	:	04/13/2023
Last Update Date	:	05/07/2025

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Directions to “BLUE BELL MANAGEMENT LLC ” Practice Location

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