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NPI 1215539796

NPI 1215539796 : BELL INDIVIDUAL AND FAMILY THERAPY : CLEVELAND, OH

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General NPI Number Information
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    NPI Number           |    1215539796
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    Entity Type          |    Organization 
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    Legal Business Name  |    BELL INDIVIDUAL AND FAMILY THERAPY 
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Dates
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    Enumeration Date     |    11/10/2020
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    Last Update Date     |    12/14/2020
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Provider Practice Location Address
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    Address Line         |    2150 W 117TH ST # 1069 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44111-1641
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    Country              |    US
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    Telephone            |    440-879-8440
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2150 W 117TH ST # 1069 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44111-1641
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    Country              |    US
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    Telephone            |    440-879-8440
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     RACHEL  BELL 
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    Credential           |    IMFT, LPC
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    Telephone            |    440-879-8440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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