Healthcare Provider Details

I. General information

NPI: 1851135743
Provider Name (Legal Business Name): JULIA BELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2024
Last Update Date: 06/24/2024
Certification Date: 06/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 LAGUNA LN
SANTA FE NM
87508-2243
US

IV. Provider business mailing address

8 LAGUNA LN
SANTA FE NM
87508-2243
US

V. Phone/Fax

Practice location:
  • Phone: 505-920-3879
  • Fax:
Mailing address:
  • Phone: 505-920-3879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCTB-2023-0031
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: