Provider Demographics
NPI:1275021693
Name:BELL, LATOYA RENEE
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:RENEE
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2225 E FLAMINGO RD STE 204
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5127
Mailing Address - Country:US
Mailing Address - Phone:702-586-9011
Mailing Address - Fax:
Practice Address - Street 1:2225 E FLAMINGO RD STE 204
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5127
Practice Address - Country:US
Practice Address - Phone:702-586-9011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health