MEDICARE: MICHAEL TODD BELL L.P.C.

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	101YP2500X	Professional Counselor	0701002565	VA

General Provider Information

NPI Number	:	1497851117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL TODD BELL L.P.C.

Provider Business Mailing Address
First Line	:	11 HOPE RD
Second Line	:	SUITE 213
City	:	STAFFORD
State	:	VA
Zip	:	22554-7287
Country	:	US
Telephone Number	:	540-658-0888
Fax Number	:	540-658-0855

Provider Business Practice Location Address
First Line	:	11 HOPE RD
Second Line	:	SUITE 213
City	:	STAFFORD
State	:	VA
Zip	:	22554-7287
Country	:	US
Telephone Number	:	540-658-0888
Fax Number	:	540-658-0855

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

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	07/08/2007

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