Healthcare Provider Details

I. General information

NPI: 1871408922
Provider Name (Legal Business Name): MR. JAKEEM BELL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 5TH ST N
GREAT FALLS MT
59401-2391
US

IV. Provider business mailing address

400 5TH ST N
GREAT FALLS MT
59401-2391
US

V. Phone/Fax

Practice location:
  • Phone: 843-615-2493
  • Fax:
Mailing address:
  • Phone: 843-615-2493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberAAB0000608109
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: