Provider Demographics
NPI:1265663306
Name:BELL, JOY A (LISW)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:A
Last Name:BELL
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3827 IMPERIAL DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88012-0686
Mailing Address - Country:US
Mailing Address - Phone:575-640-7573
Mailing Address - Fax:
Practice Address - Street 1:301 S CHURCH ST
Practice Address - Street 2:SUITE H
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-3547
Practice Address - Country:US
Practice Address - Phone:575-521-4794
Practice Address - Fax:575-521-7325
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-078541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMI-07854OtherNEW MEXICO REGULATION AND LICENSING DEPARTMENT