Provider Demographics
NPI:1477827756
Name:BELL, REGINA CHRISTINE (MA,LLPC)
Entity Type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:CHRISTINE
Last Name:BELL
Suffix:
Gender:F
Credentials:MA,LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29530 CHELMSFORD RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-1819
Mailing Address - Country:US
Mailing Address - Phone:313-779-2283
Mailing Address - Fax:
Practice Address - Street 1:29530 CHELMSFORD RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-1819
Practice Address - Country:US
Practice Address - Phone:313-779-2283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-03
Last Update Date:2012-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401012715101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional