Provider Demographics
NPI:1477632073
Name:BELL, DAVID (LMFT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:BELL
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035C DIRECTOR CT
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5996
Mailing Address - Country:US
Mailing Address - Phone:252-215-9011
Mailing Address - Fax:252-215-9012
Practice Address - Street 1:1035C DIRECTOR CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858
Practice Address - Country:US
Practice Address - Phone:252-215-9011
Practice Address - Fax:252-215-9012
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS2027101YA0400X
NC1133101YP2500X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6105138Medicaid
NC0194R4OtherBCBS