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NPI Code Detail

MEDICARE: SHAKIRA N BELL MS, LCAS, CCS-I

MEDICARE: SHAKIRA N BELL MS, LCAS, CCS-I
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
1101YA0400XAddiction (Substance Use Disorder) CounselorLCAS-25352NC
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1871145953
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAKIRA N BELL MS, LCAS, CCS-I
Provider Business Mailing Address
First Line : 291 HUFF DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-7370
Country : US
Telephone Number : 910-347-2205
Fax Number :
Provider Business Practice Location Address
First Line : 291 HUFF DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-7370
Country : US
Telephone Number : 910-347-2205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2019
Last Update Date : 08/11/2023

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