Healthcare Provider Details

I. General information

NPI: 1770247223
Provider Name (Legal Business Name): HEATHER MARIE BELL LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2021
Last Update Date: 01/24/2024
Certification Date: 10/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COMMUNITY SUPPORT SERVICES, INC. 150 CROSS ST.
AKRON OH
44311-1026
US

IV. Provider business mailing address

COMMUNITY SUPPORT SERVICES, INC. 150 CROSS STREET
AKRON OH
44311-1026
US

V. Phone/Fax

Practice location:
  • Phone: 330-253-9388
  • Fax: 330-376-6726
Mailing address:
  • Phone: 330-253-9388
  • Fax: 330-376-6726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.130073
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: