Provider Demographics
NPI:1437522521
Name:BELL'S THERAPY OF ROANOKE VA
Entity Type:Organization
Organization Name:BELL'S THERAPY OF ROANOKE VA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:540-904-6207
Mailing Address - Street 1:3959 ELECTRIC RD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-4562
Mailing Address - Country:US
Mailing Address - Phone:540-904-6207
Mailing Address - Fax:540-400-7481
Practice Address - Street 1:3959 ELECTRIC RD
Practice Address - Street 2:SUITE 125
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-4562
Practice Address - Country:US
Practice Address - Phone:540-904-6207
Practice Address - Fax:540-400-7481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-11
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005213101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty