Provider Demographics
NPI:1427229392
Name:BELL AND ELLENBERG MARRIAGE COUNSELING, INC.
Entity Type:Organization
Organization Name:BELL AND ELLENBERG MARRIAGE COUNSELING, INC.
Other - Org Name:RELATIONSHIPS THAT WORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:415-883-5600
Mailing Address - Street 1:19 WINGED FOOT DR
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94949-5947
Mailing Address - Country:US
Mailing Address - Phone:415-883-5600
Mailing Address - Fax:415-883-5544
Practice Address - Street 1:19 WINGED FOOT DR
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94949-5947
Practice Address - Country:US
Practice Address - Phone:415-883-5600
Practice Address - Fax:415-883-5544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20010106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty