Provider Demographics
NPI:1043601008
Name:BELL, PATRICIA (LMHC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3740 CURTIS BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32927-3962
Mailing Address - Country:US
Mailing Address - Phone:321-632-9929
Mailing Address - Fax:321-631-6187
Practice Address - Street 1:3740 CURTIS BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32927-3962
Practice Address - Country:US
Practice Address - Phone:321-632-9929
Practice Address - Fax:321-631-6187
Is Sole Proprietor?:No
Enumeration Date:2015-02-12
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13149101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health