Provider Demographics
NPI:1093868028
Name:BELL, LISA FAYE (LMFT)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:FAYE
Last Name:BELL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 N OLD GREY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37801-7800
Mailing Address - Country:US
Mailing Address - Phone:865-681-1433
Mailing Address - Fax:
Practice Address - Street 1:1400 HOLLYWOOD RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-1905
Practice Address - Country:US
Practice Address - Phone:865-690-4150
Practice Address - Fax:865-330-2516
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN517106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist