Healthcare Provider Details

I. General information

NPI: 1851989495
Provider Name (Legal Business Name): LETORIA BELL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2021
Last Update Date: 09/29/2026
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3690 BRASELTON HWY
DACULA GA
30019-1067
US

IV. Provider business mailing address

4473 ORCHARD GROVE DR
AUBURN GA
30011-2341
US

V. Phone/Fax

Practice location:
  • Phone: 404-500-9943
  • Fax:
Mailing address:
  • Phone: 404-500-9943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW009596
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: