Healthcare Provider Details

I. General information

NPI: 1336334937
Provider Name (Legal Business Name): MINDY BELL LCSW, CACII
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2007
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PLYMOUTH DR
COLBY KS
67701-4400
US

IV. Provider business mailing address

1 PLYMOUTH DR
COLBY KS
67701-4400
US

V. Phone/Fax

Practice location:
  • Phone: 785-251-0778
  • Fax:
Mailing address:
  • Phone: 785-251-0778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number7135
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW1465
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLSCSW4612
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: