MEDICARE: KALITA M BELL

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	171M00000X	Case Manager/Care Coordinator		OH
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1306187273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALITA M BELL

Provider Business Mailing Address
First Line	:	400 TUSCARAWAS ST W STE 200
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44702-2044
Country	:	US
Telephone Number	:	330-438-2400
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 TUSCARAWAS ST W STE 200
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44702-2044
Country	:	US
Telephone Number	:	330-438-2400
Fax Number	:

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

Provider Enumeration Date	:	03/01/2013
Last Update Date	:	11/12/2025

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Directions to “ KALITA M BELL ” Practice Location

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