Healthcare Provider Details

I. General information

NPI: 1982978334
Provider Name (Legal Business Name): KARI E. BELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2012
Last Update Date: 11/11/2020
Certification Date: 11/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 W GRAND AVE STE 250
BELOIT WI
53511-6273
US

IV. Provider business mailing address

136 W GRAND AVE STE 250
BELOIT WI
53511-6273
US

V. Phone/Fax

Practice location:
  • Phone: 608-346-8315
  • Fax:
Mailing address:
  • Phone: 608-346-8315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number15601-132
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4886-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: