MEDICARE: RICHELL S BELL MHR

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	101Y00000X	Counselor		OK

General Provider Information

NPI Number	:	1457533978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHELL S BELL MHR

Provider Business Mailing Address
First Line	:	1804 N DOUGLAS BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73141-3408
Country	:	US
Telephone Number	:	405-736-6720
Fax Number	:

Provider Business Practice Location Address
First Line	:	1804 N DOUGLAS BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73141-3408
Country	:	US
Telephone Number	:	405-736-6720
Fax Number	:

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

Provider Enumeration Date	:	11/27/2007
Last Update Date	:	11/27/2007

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