1255742441 NPI number — CHARLENE BELL MS,MFT REGISTER INTE

Table of content: CHARLENE BELL MS,MFT REGISTER INTE (NPI 1255742441)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255742441 NPI number — CHARLENE BELL MS,MFT REGISTER INTE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BELL
Provider First Name:
CHARLENE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS,MFT REGISTER INTE
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:
1255742441
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/10/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18002 RICHMOND PLACE DR
Provider Second Line Business Mailing Address:
3317
Provider Business Mailing Address City Name:
TAMPA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33647-1724
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-512-8110
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8905 REGENTS PARK DR
Provider Second Line Business Practice Location Address:
SUITE 230
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33647-3081
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-512-8110
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/10/2014

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: 106H00000X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com