Healthcare Provider Details
I. General information
NPI: 1033655451
Provider Name (Legal Business Name): BELL COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/09/2017
Last Update Date: 01/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3025 WASHINGTON RD STE 105
MC MURRAY PA
15317-3246
US
IV. Provider business mailing address
7 CHAMPAGNE RD
EIGHTY FOUR PA
15330-2504
US
V. Phone/Fax
- Phone: 724-207-0338
- Fax:
- Phone: 724-207-0338
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | PC006602 |
| License Number State | PA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
TIFFANY
BELL
Title or Position: OWNER
Credential: LPC
Phone: 724-207-0338