Healthcare Provider Details

I. General information

NPI: 1811257025
Provider Name (Legal Business Name): CHAR'DAE C BELL LMFT-T
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2012
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3453 SW BURLINGAME RD APT B303
TOPEKA KS
66611-4009
US

IV. Provider business mailing address

3453 SW BURLINGAME RD APT B303
TOPEKA KS
66611-4009
US

V. Phone/Fax

Practice location:
  • Phone: 785-501-4973
  • Fax:
Mailing address:
  • Phone: 785-501-4973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number03847-T
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: