Healthcare Provider Details

I. General information

NPI: 1356677181
Provider Name (Legal Business Name): GUILAINE BELL MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2009
Last Update Date: 10/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

179 STERLING SPRINGS LN
ALTAMONTE SPRINGS FL
32714-3856
US

IV. Provider business mailing address

179 STERLING SPRINGS LN
ALTAMONTE SPRINGS FL
32714-3856
US

V. Phone/Fax

Practice location:
  • Phone: 352-256-7412
  • Fax:
Mailing address:
  • Phone: 352-256-7412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMHC7490
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: