MEDICARE: MONIQUE V. BELL LGPC

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	101YP2500X	Professional Counselor	LGP3548	MD

General Provider Information

NPI Number	:	1295027423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONIQUE V. BELL LGPC

Provider Business Mailing Address
First Line	:	2505 LORD BALTIMORE DR
Second Line	:	SUITE A-102
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-2673
Country	:	US
Telephone Number	:	410-404-0274
Fax Number	:

Provider Business Practice Location Address
First Line	:	9055 CHEVROLET DR
Second Line	:	SUITE 202
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-4016
Country	:	US
Telephone Number	:	410-404-0274
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2011
Last Update Date	:	05/05/2011

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