Healthcare Provider Details

I. General information

NPI: 1871189928
Provider Name (Legal Business Name): ALEX HARPER BELL BSW, AAC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ALEXANDRA ROSE BELL BSW

II. Dates (important events)

Enumeration Date: 12/14/2020
Last Update Date: 04/02/2023
Certification Date: 04/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 SW 136TH ST
BURIEN WA
98166-1214
US

IV. Provider business mailing address

1210 SW 136TH ST
BURIEN WA
98166-1214
US

V. Phone/Fax

Practice location:
  • Phone: 206-326-9052
  • Fax:
Mailing address:
  • Phone: 206-257-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCG61411870
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: