Healthcare Provider Details

I. General information

NPI: 1609402676
Provider Name (Legal Business Name): ERIN C BELL MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2020
Last Update Date: 04/13/2020
Certification Date: 04/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1942 NW COPPER OAKS CIR
BLUE SPRINGS MO
64015-8300
US

IV. Provider business mailing address

1942 NW COPPER OAKS CIR
BLUE SPRINGS MO
64015-8300
US

V. Phone/Fax

Practice location:
  • Phone: 816-698-2140
  • Fax:
Mailing address:
  • Phone:
  • 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: