Healthcare Provider Details

I. General information

NPI: 1912577099
Provider Name (Legal Business Name): BROOKE R BELL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2021
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 W HUNTSVILLE AVE STE B
SPRINGDALE AR
72762-2600
US

IV. Provider business mailing address

2112 W HUNTSVILLE AVE STE B
SPRINGDALE AR
72762-2600
US

V. Phone/Fax

Practice location:
  • Phone: 228-547-6332
  • Fax:
Mailing address:
  • Phone: 228-547-6332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP2103175
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: