Healthcare Provider Details

I. General information

NPI: 1730959685
Provider Name (Legal Business Name): REBECCA BELL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2024
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8016 STATE LINE RD STE 115
PRAIRIE VILLAGE KS
66208-3727
US

IV. Provider business mailing address

8016 STATE LINE RD STE 115
PRAIRIE VILLAGE KS
66208-3727
US

V. Phone/Fax

Practice location:
  • Phone: 816-799-6261
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number04574
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: