Provider Demographics
NPI:1659489292
Name:BELL, CAROLE A (LPC)
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:A
Last Name:BELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3109 OLTON RD # 5103
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:79072-6763
Mailing Address - Country:US
Mailing Address - Phone:806-292-0134
Mailing Address - Fax:806-296-7133
Practice Address - Street 1:3109 OLTON RD STE 103
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:TX
Practice Address - Zip Code:79072-6763
Practice Address - Country:US
Practice Address - Phone:806-292-0134
Practice Address - Fax:806-296-7133
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2159101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX028057002Medicaid
TX3864LCOtherBLUE CROSS BLUE SHIELD