MEDICARE: PATRICIA BELL LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH13149	FL

General Provider Information

NPI Number	:	1043601008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA BELL LMHC

Provider Business Mailing Address
First Line	:	3740 CURTIS BLVD
Second Line	:	SUITE 102
City	:	COCOA
State	:	FL
Zip	:	32927-3962
Country	:	US
Telephone Number	:	321-632-9929
Fax Number	:	321-631-6187

Provider Business Practice Location Address
First Line	:	3740 CURTIS BLVD
Second Line	:	SUITE 102
City	:	COCOA
State	:	FL
Zip	:	32927-3962
Country	:	US
Telephone Number	:	321-632-9929
Fax Number	:	321-631-6187

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2015
Last Update Date	:	02/12/2015

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Directions to “ PATRICIA BELL LMHC” Practice Location

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