Healthcare Provider Details

I. General information

NPI: 1265345359
Provider Name (Legal Business Name): MATT FERGUSON BELL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 N THOMPSON ST
SPRINGDALE AR
72764-3205
US

IV. Provider business mailing address

1224 JERSEY ST
CONWAY AR
72032-4658
US

V. Phone/Fax

Practice location:
  • Phone: 501-410-3397
  • Fax: 501-499-6639
Mailing address:
  • Phone: 501-410-3397
  • Fax: 501-499-6639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: