MEDICARE: ROBERT BELL LPC

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	68752	TX

General Provider Information

NPI Number	:	1871971945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT BELL LPC

Provider Business Mailing Address
First Line	:	5606 N NAVARRO ST
Second Line	:	STE. 307
City	:	VICTORIA
State	:	TX
Zip	:	77904-1727
Country	:	US
Telephone Number	:	361-485-0925
Fax Number	:	361-485-0938

Provider Business Practice Location Address
First Line	:	5606 N NAVARRO ST
Second Line	:	STE. 307
City	:	VICTORIA
State	:	TX
Zip	:	77904-1727
Country	:	US
Telephone Number	:	361-485-0925
Fax Number	:	361-485-0938

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

Provider Enumeration Date	:	05/11/2015
Last Update Date	:	05/11/2015

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