Healthcare Provider Details

I. General information

NPI: 1982033544
Provider Name (Legal Business Name): JODY L BELL LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2013
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3626 EVERGLADES RD
PALM BEACH GARDENS FL
33410-2315
US

IV. Provider business mailing address

6231 PGA BLVD STE 104
PALM BEACH GARDENS FL
33418-4033
US

V. Phone/Fax

Practice location:
  • Phone: 317-550-1806
  • Fax: 317-550-1834
Mailing address:
  • Phone: 317-550-1806
  • Fax: 317-550-1834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH27907
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number39002529A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39002529A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: