Provider Demographics
NPI:1578792362
Name:BELL, DAWN R (LMHC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:R
Last Name:BELL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31790 US HIGHWAY 19 N APT 173
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-3735
Mailing Address - Country:US
Mailing Address - Phone:216-358-8378
Mailing Address - Fax:
Practice Address - Street 1:31790 US HIGHWAY 19 N APT 173
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3735
Practice Address - Country:US
Practice Address - Phone:216-358-8378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH22668101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health