Provider Demographics
NPI:1477686103
Name:BELL, PAMELA (LCPC)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:J
Other - Last Name:LAVEIST-BELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCPC
Mailing Address - Street 1:PO BOX 511
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-0511
Mailing Address - Country:US
Mailing Address - Phone:410-977-2571
Mailing Address - Fax:410-363-9262
Practice Address - Street 1:20 CROSSROADS DR
Practice Address - Street 2:SUITE 104
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5419
Practice Address - Country:US
Practice Address - Phone:410-363-6770
Practice Address - Fax:410-363-9262
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2259101YP2500X, 101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral