MEDICARE: BROOKE BELL LPC

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	P2103175	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912577099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE BELL LPC

Provider Business Mailing Address
First Line	:	2809 FOREST HOME RD
Second Line	:
City	:	JONESBORO
State	:	AR
Zip	:	72401-5320
Country	:	US
Telephone Number	:	866-972-1268
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 E JOYCE BLVD STE 1
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72703-6228
Country	:	US
Telephone Number	:	479-332-4557
Fax Number	:	479-435-9587

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

Provider Enumeration Date	:	06/30/2021
Last Update Date	:	03/05/2026

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Directions to “ BROOKE BELL LPC” Practice Location

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