Healthcare Provider Details

I. General information

NPI: 1619817673
Provider Name (Legal Business Name): SAVANNAH GRACE BELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: GRACIE BELL

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 MASSACHUSETTS AVE STE AANDB
CAMBRIDGE MA
02138-3831
US

IV. Provider business mailing address

183 STRATHMORE RD APT 1
BRIGHTON MA
02135-5227
US

V. Phone/Fax

Practice location:
  • Phone: 617-207-4222
  • Fax:
Mailing address:
  • Phone: 864-982-7625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: