Healthcare Provider Details

I. General information

NPI: 1194171306
Provider Name (Legal Business Name): PHOEBE C NEACE MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PHOEBE C BELL MT-BC

II. Dates (important events)

Enumeration Date: 05/05/2016
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

632 EASTERN BLVD
CLARKSVILLE IN
47129-2463
US

IV. Provider business mailing address

3824 N WHITSETT RD
AUSTIN IN
47102-8446
US

V. Phone/Fax

Practice location:
  • Phone: 502-712-6429
  • Fax:
Mailing address:
  • Phone: 502-712-6429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: