Healthcare Provider Details

I. General information

NPI: 1760564496
Provider Name (Legal Business Name): ROBERT B. BELL LPCC, LADAC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

872 S CAMINO DEL PUEBLO
BERNALILLO NM
87004-5927
US

IV. Provider business mailing address

1620 HOLLYBERRY DR NE
RIO RANCHO NM
87144-5406
US

V. Phone/Fax

Practice location:
  • Phone: 505-867-2383
  • Fax: 505-867-7293
Mailing address:
  • Phone: 505-867-2383
  • Fax: 505-867-7293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number3585
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLADC-3585
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: