Healthcare Provider Details

I. General information

NPI: 1265663306
Provider Name (Legal Business Name): JOY A BELL LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2009
Last Update Date: 06/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S CHURCH ST SUITE H
LAS CRUCES NM
88001-3547
US

IV. Provider business mailing address

3827 IMPERIAL DR
LAS CRUCES NM
88012-0686
US

V. Phone/Fax

Practice location:
  • Phone: 575-521-4794
  • Fax: 575-521-7325
Mailing address:
  • Phone: 575-640-7573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI-07854
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: