Provider Demographics
NPI:1376747006
Name:BELL THERAPY, INC.
Entity Type:Organization
Organization Name:BELL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANINE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:BS, CSW
Authorized Official - Phone:262-564-0067
Mailing Address - Street 1:5500 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53140-3700
Mailing Address - Country:US
Mailing Address - Phone:262-564-0067
Mailing Address - Fax:262-652-1411
Practice Address - Street 1:5500 8TH AVE
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53140-3700
Practice Address - Country:US
Practice Address - Phone:262-546-0067
Practice Address - Fax:262-652-1411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2615-120171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty