Provider Demographics
NPI:1275233587
Name:BELL, EMILY J (LPC)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:J
Last Name:BELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:J
Other - Last Name:NEIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3920 E ONTONAGON LN
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54301-0908
Mailing Address - Country:US
Mailing Address - Phone:414-517-1232
Mailing Address - Fax:
Practice Address - Street 1:424 E LONGVIEW DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911-2167
Practice Address - Country:US
Practice Address - Phone:920-234-9240
Practice Address - Fax:920-301-7916
Is Sole Proprietor?:No
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8490-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional