Healthcare Provider Details

I. General information

NPI: 1053831867
Provider Name (Legal Business Name): ASHLEY PATTERSON BELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2017
Last Update Date: 02/03/2022
Certification Date: 02/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 ANDREWS RD STE 130
DURHAM NC
27705-2993
US

IV. Provider business mailing address

3713 BIRMI DR
DURHAM NC
27713-1768
US

V. Phone/Fax

Practice location:
  • Phone: 919-682-5777
  • Fax:
Mailing address:
  • Phone: 919-358-4374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: