Provider Demographics
NPI:1689087769
Name:NELLIE GRACE BELL, MA, INC.
Entity Type:Organization
Organization Name:NELLIE GRACE BELL, MA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NELLIE
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:562-421-7500
Mailing Address - Street 1:6200 E. SPRING ST., SUITE G
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815
Mailing Address - Country:US
Mailing Address - Phone:562-421-7500
Mailing Address - Fax:562-421-7511
Practice Address - Street 1:6200 E. SPRING ST., SUITE G
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815
Practice Address - Country:US
Practice Address - Phone:562-421-7500
Practice Address - Fax:562-421-7511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-06
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13730106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty