Provider Demographics
NPI:1003887167
Name:BELL, TAMMY L (LCSW, MSW, MAC)
Entity Type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:L
Last Name:BELL
Suffix:
Gender:F
Credentials:LCSW, MSW, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5517 TULLAMORE LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-7193
Mailing Address - Country:US
Mailing Address - Phone:704-948-1330
Mailing Address - Fax:
Practice Address - Street 1:1907 CHARLOTTE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5783
Practice Address - Country:US
Practice Address - Phone:704-342-2288
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC000838101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)