Provider Demographics
NPI:1467204560
Name:BELL, ALISHA (CCHW, NPP)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:CCHW, NPP
Other - Prefix:
Other - First Name:ALISHA
Other - Middle Name:
Other - Last Name:ASHMORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2532 N GALE ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46218-2943
Mailing Address - Country:US
Mailing Address - Phone:317-945-3546
Mailing Address - Fax:
Practice Address - Street 1:1220 WATERWAY BLVD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2157
Practice Address - Country:US
Practice Address - Phone:317-945-3546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN106H00000X, 172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist