1275700726 NPI number — MRS. REBECCA BELL-DUMAS MS LPC LLC

Table of content: MRS. REBECCA BELL-DUMAS MS LPC LLC (NPI 1275700726)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275700726 NPI number — MRS. REBECCA BELL-DUMAS MS LPC LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BELL-DUMAS
Provider First Name:
REBECCA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS LPC LLC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275700726
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/14/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 927
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CRESTED BUTTE
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
81224-0927
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-349-5344
Provider Business Mailing Address Fax Number:
970-349-5344

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
429 6TH ST
Provider Second Line Business Practice Location Address:
CBCS LLC STE 210
Provider Business Practice Location Address City Name:
CRESTED BUTTE
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81224-0927
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-349-5344
Provider Business Practice Location Address Fax Number:
970-349-5344
Provider Enumeration Date:
05/14/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  1172 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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