Provider Demographics
NPI:1659574267
Name:BELL, JANIE SAILSTAD (MED, LPC)
Entity Type:Individual
Prefix:
First Name:JANIE
Middle Name:SAILSTAD
Last Name:BELL
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 333
Mailing Address - Street 2:
Mailing Address - City:LAKE LURE
Mailing Address - State:NC
Mailing Address - Zip Code:28746-0333
Mailing Address - Country:US
Mailing Address - Phone:828-625-8210
Mailing Address - Fax:
Practice Address - Street 1:241 PAVILLON PL
Practice Address - Street 2:
Practice Address - City:MILL SPRING
Practice Address - State:NC
Practice Address - Zip Code:28756-5809
Practice Address - Country:US
Practice Address - Phone:828-625-8210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4969101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health