Healthcare Provider Details

I. General information

NPI: 1720415938
Provider Name (Legal Business Name): BELL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2013
Last Update Date: 10/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7229-7231 W. BRENTWOOD AVE.
MILWAUKEE WI
53223
US

IV. Provider business mailing address

7229-7231 W. BRENTWOOD AVE.
MILWAUKEE WI
53223
US

V. Phone/Fax

Practice location:
  • Phone: 414-358-0906
  • Fax:
Mailing address:
  • Phone: 414-358-0906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. NATHAN ZEIGER
Title or Position: EXECUTIVE DIRECTOR
Credential: MSW
Phone: 414-342-2060