Healthcare Provider Details

I. General information

NPI: 1417805854
Provider Name (Legal Business Name): ELLA BELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2156 WOODDALE BLVD STE 750
BATON ROUGE LA
70806-1404
US

IV. Provider business mailing address

19519 KETCHWOOD DR
HAMMOND LA
70403-0259
US

V. Phone/Fax

Practice location:
  • Phone: 225-930-8058
  • Fax: 225-351-8703
Mailing address:
  • Phone: 225-930-8058
  • Fax: 225-351-8703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number19572
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: