Provider Demographics
NPI:1275123754
Name:BELL, ROCHELLE C
Entity Type:Individual
Prefix:MS
First Name:ROCHELLE
Middle Name:C
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROCHELLE
Other - Middle Name:C
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:113 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-4930
Mailing Address - Country:US
Mailing Address - Phone:770-891-2270
Mailing Address - Fax:
Practice Address - Street 1:113 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-4930
Practice Address - Country:US
Practice Address - Phone:770-891-2270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-19
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool